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12.5.2.30 DHS rekommandationer for KMT 2011.pdf - e-Dok

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Sokal index (Kliniske oplysninger fra debuttidspunkt)<br />

Thrombocyttal mia/L<br />

Miltstørrelse (cm under curvaturen)<br />

Procent blaster i perifert blod<br />

Alder<br />

Klik her <strong>for</strong> at <strong>for</strong>etage en automatisk beregning af Sokal index'et.<br />

Klik her <strong>for</strong> at <strong>for</strong>etage en automatisk beregning af Has<strong>for</strong>d score:<br />

(www.kompetenznetz-leukaemie.de/cgi-bin/pharmacoepi/cmlscore)<br />

Referencer vedrørende HCT af CML<br />

Prognostiske faktorer<br />

Has<strong>for</strong>d, J., Pfirrmann, M., Hehlmann, R., Allan, N.C., Baccarani, M., Kluin-Nelemans, J.C., Alimena, G.,<br />

Steegmann, J.L., and Ansari, H. A new prognostic score <strong>for</strong> survival of patients with chronic myeloid leukemia<br />

treated with interferon alfa. Writing Committee <strong>for</strong> the Collaborative CML Prognostic Factors Project Group. J<br />

Natl Cancer Inst, 90: 850-858, 1998.<br />

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B.D., and Cervantes, F. Prognostic discrimination in "good-risk" chronic granulocytic leukemia. Blood, 63: 789-<br />

799, 1984.<br />

Sokal, J.E., Baccarani, M., Tura, S., Fiacchini, M., Cervantes, F., Rozman, C., Gomez, G.A., Galton, D.A.,<br />

Canellos, G.P., and Braun, T.J. Prognostic discrimination among younger patients with chronic granulocytic<br />

leukemia: relevance to bone marrow transplantation. Blood, 66: 1352-1357, 1985.<br />

Wadhwa, J., Szydlo, R. M., Apperley, J. F., Chase, A., Bua, M., Marin, D., Olavarria, E., Kanfer, E., and<br />

Goldman, J. M. Factors affecting duration of survival after onset of blastic trans<strong>for</strong>mation of chronic myeloid<br />

leukemia. Blood, 99: 2304-2309, 2002.<br />

Behandlingsstrategi<br />

Baccarani,M., Cortes,J., Pane,F., Niederwieser,D., Saglio,G., Apperley,J., Cervantes,F., Deininger,M.,<br />

Gratwohl,A., Guilhot,F., Hochhaus,A., Horowitz,M., Hughes,T., Kantarjian,H., Larson,R., Radich,J.,<br />

Simonsson,B., Silver,R.T., Goldman,J., & Hehlmann,R. (2009) Chronic myeloid leukemia: an update of concepts<br />

and management recommendations of European LeukemiaNet. J.Clin.Oncol., 27, 6041-6051.<br />

Goldman,J.M. (2007) How I treat chronic myeloid leukemia in the imatinib era. Blood, 110, 2828-2837.<br />

Shah,N.P. (2007) Medical Management of CML. Hematology.Am.Soc.Hematol.Educ.Program., 2007, 371-375.<br />

Bran<strong>for</strong>d,S. (2007) Chronic myeloid leukemia: molecular monitoring in clinical practice.<br />

Hematology.Am.Soc.Hematol.Educ.Program., 2007, 376-383.<br />

Imatinib/STI-571<br />

Druker,B.J., Guilhot,F., O'Brien,S.G., Gathmann,I., Kantarjian,H., Gattermann,N., Deininger,M.W., Silver,R.T.,<br />

Goldman,J.M., Stone,R.M., Cervantes,F., Hochhaus,A., Powell,B.L., Gabrilove,J.L., Rousselot,P., Reiffers,J.,<br />

Cornelissen,J.J., Hughes,T., Agis,H., Fischer,T., Verhoef,G., Shepherd,J., Saglio,G., Gratwohl,A., Nielsen,J.L.,<br />

Radich,J.P., Simonsson,B., Taylor,K., Baccarani,M., So,C., Letvak,L., & Larson,R.A. (2006) Five-year follow-up<br />

of patients receiving imatinib <strong>for</strong> chronic myeloid leukemia. N.Engl.J.Med., 355, 2408-2417.<br />

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