The myelodysplastic syndromes, myeloproliferative disorders,and acute myeloid leukemia (AML) are seemingly unrelated diseasesexcept for their origin in hematopoietic precursor cells inbone marrow. A principal feature of the myeloproliferative disorders,which include polycythemia vera, essential thrombocythemia,and primary myelofibrosis, is overproduction of blood cells.By contrast, a prominent feature of the myelodysplastic syndromesis a reduction in the number of one or more cells in the hematopoieticlineage. In AML, primitive myeloid cells in the bone marrowdo not differentiate into mature granulocytes. These three groupsof bone marrow disorders are distinct, yet they have overlappingfeatures. Moreover, . . . [Full Text of this Article]
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From the Human Oncology and Pathogenesis Program and the Leukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York (R.L.L.); and the Division of Hematology and Oncology, University of Pennsylvania, Philadelphia (M.C.).
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