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XLII Reunión Nacional de la AEHH y XVI Congreso de la SETH. <strong>Simposios</strong><br />

223<br />

ción de PCR [p. ej. t(8,21) y t(15;17)] 85-87 . Sin embargo,<br />

el número de pacientes analizado es escaso y<br />

necesita ser optimizada y estandarizada para poder<br />

establecer su utilidad clínica, especialmente con vistas<br />

a la toma de decisiones terapéuticas.<br />

Conclusión<br />

En el momento actual los hematólogos disponemos<br />

de una importante batería de marcadores que<br />

proporcionan información relevante sobre el pronóstico<br />

de las LMA. Una premisa fundamental sería<br />

utilizarlos simultáneamente y de manera prospectiva,<br />

en series de enfermos que van a ser tratados con<br />

protocolos uniformes, para poder establecer modelos<br />

predictivos, que ulteriormente permitieran estratificar<br />

el tratamiento en función del riesgo. Además<br />

estos modelos, serían la base para nuevos ensayos<br />

terapéuticos, pues todo ensayo, especialmente<br />

aquellos que incluyen nuevas drogas, debería llevarse<br />

a cabo en grupos de enfermos bien definidos en<br />

cuanto a sus características clínico-biológicas, ya<br />

que ello facilitaría poder identificar quien se beneficia<br />

y quien no de esa opción terapéutica experimental.<br />

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