Progress in the diagnosis and treatment of lower-risk myelodysplastic syndrome
DING Yubin1 TANG Yufeng2 TANG Xudong3
1.Graduate School, China Academy of Chinese Medical Sciences, Beijing 100700, China;
2.Department of Laboratory, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
3.Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
Abstract：The lower-risk myelodysplastic syndrome (MDS) is defined by the prognostic scoring system, and the inclusion of molecular abnormalities is conducive to the accuracy of risk stratification of the system. In view of the peripheral blood cytopenia of lower-risk MDS, erythropoietin analogues (erythropoiesis-stimulating agents, darbepoetin-α), transforming growth factor-β (TGF-β) pathway blockers (luspatercept) and Lenalidomide can be selected to improve the anemia of MDS, Romiplostim and Eltrombopag are used for thrombocytopenia, demethylation drugs and antithymocyte globulin ameliorate pancytopenia of MDS, and many new drugs in clinical trials are intended for the signaling pathway of specific gene mutation. In this paper, the diagnosis and treatment of low-risk MDS are reviewed in order to guide the clinical treatment.
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2020, Vol. 17 
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