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Current Hematologic Malignancy Reports

, Volume 14, Issue 3, pp 137–144 | Cite as

Next-Generation Sequencing in Myeloproliferative Neoplasms: Is This Indicated in All Patients?

  • Alain Antoine Mina
  • Brady SteinEmail author
Myeloproliferative Neoplasms (B Stein, Section Editor)
  • 182 Downloads
Part of the following topical collections:
  1. Topical Collection on Myeloproliferative Neoplasms

Abstract

Purpose of review

To discuss the impact that next-generation sequencing has had on myeloproliferative neoplasm prognosis and treatment response.

Recent findings

Extended genetic testing has led to a more comprehensive understanding of the mutational landscape in the myeloproliferative neoplasms. More refined prognostic models that predict disease course have therefore been developed. In myelofibrosis, this has led to a more nuanced prognostic assessment which is a necessary tool for the identification of potential transplant patients. The extended molecular profile may also help set expectations for ruxolitinib response duration. In essential thrombocythemia and polycythemia vera, elucidation of the molecular landscape beyond driving mutations may identify patients at risk for more rapid progression. However, results from testing are less likely to lead to action, at least in the current era.

Summary

Use of next-generation sequencing has become routine in myelofibrosis, as a means of identifying patients at highest risk for progression, who may be eligible for transplantation. Extended genetic sequencing is still investigational in essential thrombocytosis and polycythemia vera, and not recommended by guidelines.

Keywords

Myeloproliferative neoplasms Next-generation sequencing Polycythemia vera Essential thrombocythemia Myelofibrosis 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Hematology/Oncology, Department of MedicineNorthwestern University Feinberg School of Medicine and Robert H. Lurie Comprehensive Cancer CenterChicagoUSA
  2. 2.ChicagoUSA

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