الفهرس | Only 14 pages are availabe for public view |
Abstract Myeloproliferative neoplasms (MPNs) are a group of clonal stem cell malignancies among the myeloid disorders that are characterized by the abnormal increase in the production of mature and immature blood cells of one or more myeloid lineages and that may evolve into acute myeloid leukemia. For several years, the World Health Organization (WHO) classification of myeloid neoplasms classified MPNs based on the clinical and laboratory features. The last revised WHO in 2016 did not significantly change MPNs since the previous revision but it added a new criteria related to the discoveries of the new mutations and the improvement in the morphologic features and thus increased the reliability of diagnoses. JAK2 V617F mutation in which a valine substituted to phnylalanine at codon 617 is the most commonly mutation that associated with almost all cases of PV and about 50%-60% of ET and PMF cases. JAK2 exon 12 reported to be detected in about 2% of negative-JAK2 V617F in only PV cases. Whereas, the MPL mutations associated with about 3-5% of nagetive-JAK2V617F ET or PMF. |