Current Hematologic Malignancy Reports

, Volume 8, Issue 4, pp 342–350 | Cite as

Molecular Classification of Myeloproliferative Neoplasms—Pros and Cons

Myeloproliferative Disorders (JJ Kiladjian, Section Editor)

Abstract

Dameshek first postulated a common myeloproliferative heritage for the myeloproliferative disorders, now termed neoplasms. This prescient observation was validated by the description of a common mutation in exon 14 of JAK2 for patients with essential thrombocythemia, polycythemia vera and primary myelofibrosis. In recent years, our knowledge of the molecular abnormalities underpinning these disorders has expanded significantly. At the same time, we have continued to use a classification based largely upon the first clinical descriptions of these entities, which sometimes proves problematic in differentiating between these conditions and normal reactive processes, myelodysplasia and between the myeloproliferative neoplasm entities themselves. Here, we discuss the pros and cons of a molecular classification and its potential utility in diagnosis, prognosis, and therapeutics.

Keywords

Myeloproliferative neoplasms Molecular pathology Polycythemia vera Essential thrombocythemia Primary myelofibrosis JAK/STAT Epigenetics Hematologic malignancy 

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Guy’s and St Thomas’ NHS Foundation TrustGuy’s HospitalLondonUK
  2. 2.Department of Haematology, University College London Hospitals NHS Foundation TrustUniversity College London HospitalLondonUK

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