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CHAPTER 21  ■  Acute Leukemias                         387




                                                                                                                                           m    .  D                           CBF      m     x,   (  ;    )

                        BOX  21.2                                                                                              (q    ;q    )           (    ) (      q    / (    ,    ) (      ;q    ),          -

                                                                                                                                       AML                                                          .  T

                                                                                                                               m  j                                                          AML            m-
                     New Acute Myeloid Leukemia Subtypes—2016                                                                                                                         m                            -




                     ■    AML        RUNX1 m            (                 )                                                    k  m             .

                     ■    AML        BCR-ABL 1 m            (                 )                                                     I                                  WHO                      ,         m

                     ■    AML                      CEBPA m                                                                                     (  )(q    q    .  )      (  ;  )(q    ;q    .  )                       -

                     ■    F  m       AML/MDS (m                   )                                                                                                         m             GA  A

                     ■    N                                                                       m                                            m                     q    .
                                     m  (B      %                 m                        .                                        P                            AML        NPM   (                  m   )
                                                                                                                               m                     AML          CEBPA m                             m


                     S         : F          K. CSP 2015 Short Course—Leukemia Classi  cation                                            .  AML          CEBPA m
                     2016: What, When, “Who,” C              S               P                , S     D       ,                                   AML           m                                       m      -

                     CA,         .                                                                                                       m           . T                         m     AML

                                                                                                                                                                      . AML       RUNX  m

                                                                                                                               AML        BCR-ABL

                                                                                                                                                                                                                           -

                        T   F  L3                                   III                            k        .                         . T                           k

                   U                        ,  FL        x                                           m     -                                   BCR-ABL                             .

                                              m               . F  L                 k

                                           k  m                          m                                                     Key Laboratory Findings

                   m            m . F  L       k                  m                            %

                                      AML.                                                                                     A    m                              . A    m

                        T   CBF     m     x                                         m     x       -                                                  m               m    m             m                 k  -

                                                        m                           m    m                                     m            . A                                k                                        -
                                                                                                                                       ,    m                m        m                  m

                                                                                                                                    k                    . T    m

                                                                                                                                                                      k  m   .

                        BOX  21.3                                                                                                   AML                    z                                              m        ,

                                                                                                                                       ,                                                  ,          ,         m

                                                                                                                                                  ,          m    m
                     New  Acute Myeloid Leukemia Criteria                                                                                m                        m. A        k



                      .  B             CEBPA m               q              AML                                                m                                                    mm             m

                          CEBPA m                         .                                                                                                  m   k      AML. T    M:E             AML

                      .  R           AML-MRC                                     m         -                                             .

                                                           .                                                                        M                          m                   m                 m

                           .  I  NPM1 m                           ,                    AML                                               m      ,                   x                                               -

                               NPM1 m            (            m                                ).                                   m    m   k          m                          m     ,

                           .  I                CEBPA m           ,                    AML                                                                   ,        m

                               CEBPA m            (            m                                ).                                             AML.

                           .  I                                                  MDS          MDS-                                  I                         AML,                           m

                                                               ,                 AML-MDS                                                                           (              .              .  ).

                               NPM1,               CEBPA m                                  .

                      .  B                                                m

                                        -         m               . N                             -                            PROGNOSIS OF AML

                                                                                               k  m   ,

                          m          /                m                         MDS.                                           A             AML                                           ,           AML

                      .  A                                           m                       m                                                 %         %

                              m-                             m            :                                                                                  %         %

                           .  F  m      MDS/AML                                                                                                      . T                      m    m

                           .  F  m            m                           m                                                                     . O                                                                    -

                                                                                                                               m                                                                                m

                           .  F  m        MDS/AML                                            -                                                                      m        .

                                                                  m                              m  ,                               I   AML                 z                                m     m                 -

                               F           ’        m   ,                                                                            — (  ;    )(q    ;q    );  (  ;    ) (q    ;q  )                  (      q    )—

                                                                                                                                                                                                    . I       m           ,
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