The impact of mutation of myelodysplasia-related genes in de novo acute myeloid leukemia carrying npm1 mutation “2279

HIGHLIGHTS

SUMMARY

    While cases with concurrent FLT3-ITDhigh (allelic ratio (AR) > 0.5) were previously designated as "intermediate-risk" based on the European LeukemiaNet (ELN) risk stratification, the newly updated ELN classification now categorizes all cases with NPM1-mutated AML with FLT3-ITD co-mutation as intermediate-risk group regardless of AR. Historically, patients who developed AML preceded by a history of myelodysplastic syndrome (MDS) or with cytogenetic aberrations associated with MDS (-7/7q-, complex, etc.) were designated as AML with myelodysplasia-related changes (AML-MRC) rather than AML with NPM1 mutation even if the mutation . . .

     

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