The past three decades have seen considerable advances in ourunderstanding of the underlying mechanisms of acute myeloidleukemia (AML) and dramatic improvements in treatment. At present,decisions about therapy are largely based on prognostic factorsidentified at the time of diagnosis or shortly thereafter. Thesefeatures include age, the karyotype of the leukemic clone, theinitial leukocyte count, and the response to induction chemotherapy.Karyotypic analysis is particularly important, because it notonly provides a key prognostic indicator but also serves toidentify biologically distinct subgroups of AML, which in someinstances require specific types of treatment.1 All-trans. . . [Full Text of this Article]
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From the Department of Medical and Molecular Genetics, Guy's, King's and St. Thomas' School of Medicine, and the Department of Haematology, University College London Hospitals both in London (D.G.); and the Laboratory for Leukemia Diagnostics, Medical Department III, University Hospital Grosshadern, Ludwig-Maximilians-University, Munich, Germany (T.H.).
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