Current treatment options and strategies for myelodysplastic syndromes.

Abstract:

BACKGROUND:The myelodysplastic syndromes (MDS) are a group of heterogeneous disorders characterized by ineffective hematopoiesis. A number of scoring systems have been developed but they are of limited value in guiding individual patient treatment decisions. OBJECTIVE:We have presented the benefits and limitations of various treatment approaches for MDS to help provide guidance in treatment decisions. METHODS:An extensive literature search on PubMed from 2000 to 2008 was done using MESH keywords MDS, treatment, 5-azacytidine, decitabine, lenalidomide, antithymocyte globulin. CONCLUSION:In recent years there has been progress in supportive care and three agents have been approved for the treatment of MDS. With the exception of lenalidomide, which produced remarkable responses with 5q chromosomal deletion, these therapies benefit a minority of patients and the overall outcomes are still unsatisfactory. Allogeneic stem cell transplant remains the only curative option but the majority of MDS patients are not eligible because of older age and other medical problems. Immunosuppressive therapy is helpful in a fraction of patients. Several newer agents are being tested, offering promise for the future.

authors

Srinivasan S,Schiffer CA

doi

10.1517/14656566.9.10.1667

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

1667-78

issue

10

eissn

1465-6566

issn

1744-7666

journal_volume

9

pub_type

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