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Home » Cancer Management: A Multidisciplinary Approach

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CANCER MANAGEMENT: 14TH EDITION 

Myelodysplastic Syndromes

By Guillermo Garcia-Manero, MD1, Alan List, MD2, Hagop Kantarjian, MD3, Jorge E. Cortes, MD1 | November 10, 2011
1Department of Leukemia, M. D. Anderson Cancer Center 2Department of Hematologic Malignancies, H. Lee Moffitt Cancer Center and Research Institute 3Radiation Oncology Branch, National Cancer Institute

  • TABLE OF CONTENTS
  • Epidemiology
  • Etiology and risk factors
  • Classification
  • Signs and symptoms
  • Staging and prognosis
  • Treatment
  • Suggested reading

Suggested reading


Bejar R, Stevenson K, Abdel-Wahab O, et al: Clinical effect of point mutations in myelodysplastic syndromes. N Engl J Med 364:2496-2506, 2011.

Cutler CS, Lee SJ, Greenberg P, et al: A decision analysis of allogeneic bone marrow transplantation for the myelodysplastic syndromes: Delayed transplantation for low-risk myelodysplasia is associated with improved outcome. Blood 104:579-585, 2004.

Fenaux P, Mufti GJ, Hellstrom-Lindberg E, et al: Efficacy of azacitidine compared with that of conventional care regimens in the treatment of higher-risk myelodysplastic syndromes: A randomised, open-label, phase III study. Lancet Oncol 10:223–232, 2009.

Garcia-Manero G, Kantarjian HM, Sanchez-Gonzalez B, et al: Phase 1/2 study of the combination of 5-aza-2'-deoxycytidine with valproic acid in patients with leukemia. Blood 108:3271–3279, 2006.

Garcia-Manero G, Shan J, Faderl S, et al: A prognostic score for patients with lower risk myelodysplastic syndrome. Leukemia 22:538–543, 2008.

Garcia-Manero G, Yang H, Bueso-Ramos C, et al: Phase I study of the histone deacetylase inhibitor vorinostat (suberoylanilide hydroxamic acid, SAHA) in patients with advanced leukemias and myelodysplastic syndromes. Blood 111:1060–1066, 2007.

Greenberg P, Cox C, LeBeau MM, et al: International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood 89:2079–2088, 1997.

Kantarjian H, Issa JP, Rosenfeld CS, et al: Decitabine improves patient outcomes in myelodysplastic syndromes: Results of a phase III randomized study. Cancer 106:1794–1803, 2006.

Kantarjian H, Oki Y, Garcia-Manero G, et al: Results of a randomized study of 3 schedules of low-dose decitabine in higher-risk myelodysplastic syndrome and chronic myelomonocytic leukemia. Blood 109:52–57, 2007.

List A, Dewald G, Bennett J, et al: Lenalidomide in the myelodysplastic syndrome with chromosome 5q deletion. N Engl J Med 355:1456–1465, 2006.

Malcovati L, Germing U, Kuendgen A, et al: Time-dependent prognostic scoring system for predicting survival and leukemic evolution in myelodysplastic syndromes. J Clin Oncol 25:3503–3510, 2007.

Rollison DE, Howlader N, Smith MT, et al: Epidemiology of myelodysplastic syndromes and chronic myeloproliferative disorders in the United States, 2001-2004, using data from the NAACCR and SEER programs. Blood 112:45–52, 2008.

Silverman LR, Demakos EP, Peterson BL, et al: Randomized controlled trial of azacitidine in patients with the myelodysplastic syndrome: A study of the cancer and leukemia group B. J Clin Oncol 20:2429–2440, 2002.

Soriano AO, Yang H, Faderl S, et al: Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome. Blood 110:2302–2308, 2007.

Steensma DP, Baer MR, Slack JL, et al: Preliminary results of a phase II study of decitabine administered daily for 5 days every 4 weeks to adults with myelodysplastic syndrome (MDS). Blood 110:434A-435A, 2007.

WijerMans P, Suciu S, Baila L, et al: Low dose decitabine versus best supportive care in elderly patients with intermediate or high risk MDS not eligible for intensive chemotherapy: Final results of the randomized phase III study (06011) of the EORTC Leukemia and German MDS Study Groups. Blood 112:226, 2008.

Abbreviations in this chapter

CALGB = Cancer and Leukemia Group B; EORTC = European Organisation for Research and Treatment of Cancer; SWOG = Southwest Oncology Group; WHO = World Health Organization

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Cancer Management: Hematologic malignancies

Hodgkin Lymphoma

Non-Hodgkin Lymphoma

Multiple Myeloma and Other Plasma Cell Dyscrasias

Acute Leukemias

Chronic Myeloid Leukemia

Chronic Lymphocytic Leukemia and Hairy-Cell Leukemia

Myelodysplastic Syndromes

Hematopoietic Cell Transplantation






 
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