Myeloid/Lymphoid Neoplasms with Eosinophilia and TK Fusion Genes, Version 3.2021, NCCN Clinical Practice Guidelines in Oncology

Author:

Gerds Aaron T.1,Gotlib Jason2,Bose Prithviraj3,Deininger Michael W.4,Dunbar Andrew5,Elshoury Amro6,George Tracy I.4,Gojo Ivana7,Gundabolu Krishna8,Hexner Elizabeth9,Hobbs Gabriela10,Jain Tania7,Jamieson Catriona11,Kuykendall Andrew T.12,McMahon Brandon13,Mohan Sanjay R.14,Oehler Vivian15,Oh Stephen16,Pardanani Animesh17,Podoltsev Nikolai18,Ranheim Erik19,Rein Lindsay20,Salit Rachel15,Snyder David S.21,Stein Brady L.22,Talpaz Moshe23,Thota Swapna6,Vachhani Pankit24,Wadleigh Martha25,Walsh Katherine26,Ward Dawn C.27,Bergman Mary Anne28,Sundar Hema28

Affiliation:

1. 1Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute;

2. 2Stanford Cancer Institute;

3. 3The University of Texas MD Anderson Cancer Center;

4. 4Huntsman Cancer Institute at the University of Utah;

5. 5Memorial Sloan Kettering Cancer Center;

6. 6Roswell Park Comprehensive Cancer Center;

7. 7The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins;

8. 8Fred & Pamela Buffett Cancer Center;

9. 9Abramson Cancer Center at the University of Pennsylvania;

10. 10Massachusetts General Hospital Cancer Center;

11. 11UC San Diego Moores Cancer Center;

12. 12Moffitt Cancer Center;

13. 13University of Colorado Cancer Center;

14. 14Vanderbilt-Ingram Cancer Center;

15. 15Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance;

16. 16Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine;

17. 17Mayo Clinic Cancer Center;

18. 18Yale Cancer Center/Smilow Cancer Hospital;

19. 19University of Wisconsin Carbone Cancer Center;

20. 20Duke Cancer Institute;

21. 21City of Hope National Medical Center;

22. 22Robert H. Lurie Comprehensive Cancer Center of Northwestern University;

23. 23University of Michigan Rogel Cancer Center;

24. 24O'Neal Comprehensive Cancer Center at UAB;

25. 25Dana-Farber/Brigham and Women’s Cancer Center;

26. 26The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute;

27. 27UCLA Jonsson Comprehensive Cancer Center; and

28. 28National Comprehensive Cancer Network

Abstract

Eosinophilic disorders and related syndromes represent a heterogeneous group of neoplastic and nonneoplastic conditions, characterized by more eosinophils in the peripheral blood, and may involve eosinophil-induced organ damage. In the WHO classification of myeloid and lymphoid neoplasms, eosinophilic disorders characterized by dysregulated tyrosine kinase (TK) fusion genes are recognized as a new category termed, myeloid/lymphoid neoplasms with eosinophilia and rearrangement of PDGFRA, PDGFRB or FGFR1 or with PCM1-JAK2. In addition to these aforementioned TK fusion genes, rearrangements involving FLT3 and ABL1 genes have also been described. These new NCCN Guidelines include recommendations for the diagnosis, staging, and treatment of any one of the myeloid/lymphoid neoplasms with eosinophilia (MLN-Eo) and a TK fusion gene included in the 2017 WHO Classification, as well as MLN-Eo and a FLT3 or ABL1 rearrangement.

Publisher

Harborside Press, LLC

Subject

Oncology

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