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Publication Date:
January 2012
ISSN:
1439-0477
DOI:
10.1515/JLM-2011-0005

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As of 2008, all German language articles published in the journal “LaboratoriumsMedizin” are also published in an English “online only” version.

Editor-in-Chief: Nauck, Matthias

null Fraunberger, Peter / Klein, Hanns-Georg / Klouche, Mariam / Kohse, Klaus P. / Luppa, Peter B. / März, Winfried / Nebe, Carl Thomas / Orth, Matthias / Ruf, Andreas / Schuff-Werner, Peter / Steimer, Werner / Stieber, Petra / Wallaschofski, Henri / Weber, Bernard / Wieland, Eberhard / Sack, Ulrich

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Genetische und immunzytometrische Diagnostik bei der akuten myeloischen Leukämie und ihre Bedeutung für die Wahl der Therapiestrategie/Genetic and immunophenotypical diagnostics for acute myeloid leukemia and their implication on treatment strategy

Kayser, Sabine / 1

1Klinik für Innere Medizin III, Universitätsklinikum Ulm, Ulm, Deutschland

Korrespondenz: Prof. Dr. med. Richard F. Schlenk, Klinik für Innere Medizin III, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Deutschland Tel.: +49-731-500-45900 Fax: +49-731-500-45905

Citation Information: LaboratoriumsMedizin. Volume 36, Issue 1, Pages 37–45, ISSN (Online) 1439-0477, ISSN (Print) 0342-3026, DOI: 10.1515/JLM-2011-0005, January 2012

Abstract

Cytogenetic and molecular genetic abnormalities in acute myeloid leukemia (AML) play an important role in the pathogenesis, are absolutely necessary for disease classifica­tion, are the most important prognostic factors for induction success and survival, and are increasingly used for specific genotype-adapted treatment approaches. In particular, mole­cular targeted treatment strategies are evolving within clinical trials in the AML entities core-binding factor AML, character­ized by t(8;21) and inv(16)/t(16;16) and AML with mutated NPM1, as well as AML with an internal tandem duplication of the FLT3 gene. The link between the leukemogenic importance of genetic abnormalities and their role as a potential target for well-known and novel drugs will contribute to the stepwise repla­cement of purely risk-adapted therapy to a more and more genotype-adapted treatment strategy.

Keywords: acute myeloid leukemia; diagnostic work-up; minimal residual disease; molecular profile; WHO classification; akute myeloische Leukämie; diagnostischer Work-up; molekulares Profil; minimale Resterkrankung; WHO-Klassifikation

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