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골수증식종양 진단의 발전Advances in the Diagnosis of Myeloproliferative Neoplasms

Other Titles
Advances in the Diagnosis of Myeloproliferative Neoplasms
Authors
장미애최철원
Issue Date
2016
Publisher
대한내과학회
Keywords
Diagnosis; Myeloproliferative neoplasm; Polycythemia vera; Primary myelofibrosis; Thrombocythemia; Essential; 진단; 골수증식종양; 진성적혈구증가증; 일차골수섬유증; 본태혈소판증가증
Citation
대한내과학회지, v.90, no.4, pp.281 - 287
Journal Title
대한내과학회지
Volume
90
Number
4
Start Page
281
End Page
287
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9830
DOI
10.3904/kjm.2016.90.4.281
ISSN
1738-9364
Abstract
골수증식종양(myeloproliferative neoplasms, MPN)은 하나 이상의 골수세포(과립구계, 적혈구계, 거대핵세포, 비만세포)가과도하게 증식하는 클론성 조혈모세포 혈액질환으로, BCRABL1 양성 만성 골수백혈병(chronic myelogenous leukemia), 만성 호중구백혈병(chronic neutrophilic leukemia), 진성적혈구증가증(polycythemia vera), 본태혈소판증가증(essential thrombocythemia), 일차골수섬유증(primary myelofibrosis) 등이 포함되어 있다[1]. 발생 초기에는 조혈기능 증가로 인해 말초혈액혈구와 골수세포충실도의 증가를 보이지만, 단계적으로 진행하여 말기에는 골수섬유화, 비효과조혈(ineffective hematopoiesis) 또는 급성모세포기(acute blast phase)로 진행하여 골수부전에이르게 된다.
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