Treatment outcome in a cohort of young patients with polycythemia vera.

Abstract:

:The treatment of polycythemia vera in young adults is challenging, requiring one to run a balance between the increased risk of vascular complications, if left untreated, versus the potential of promoting secondary leukemia/myelodysplasia or cancer, if actively managed with chemotherapy. We report the results of a 20-year retrospective analysis in a cohort of 30 young adults with PV (median age 37 years, range 19-45) treated exclusively with phlebotomy, aspirin and hydroxyurea only in case of vascular complications occurring in the presence of thrombocytosis (platelet count > 600 × 10(9)/L). With this approach, vascular complications were no higher than in other published series, and secondary leukemia/myelodysplasia or cancer was not observed during a follow-up of 14 years.

journal_name

Intern Emerg Med

authors

Ruggeri M,Finotto S,Fortuna S,Rodeghiero F

doi

10.1007/s11739-010-0429-y

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

411-3

issue

5

eissn

1828-0447

issn

1970-9366

journal_volume

5

pub_type

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