PMID- 20558611 OWN - NLM STAT- MEDLINE DCOM- 20101206 LR - 20210206 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 116 IP - 17 DP - 2010 Oct 28 TI - How I treat acute myeloid leukemia. PG - 3147-56 LID - 10.1182/blood-2010-05-260117 [doi] AB - More than one quarter of a million adults throughout the world are diagnosed annually with acute myeloid leukemia (AML). Despite considerable progress during the past 3 decades in the therapy of AML, two-thirds of young adults and 90% of older adults still die of their disease. The reported median age has increased over the past few decades, mostly because of a greater willingness of physicians to diagnose and treat older patients, and now is 72 years. The greatest challenge is in this age group. However, much improvement in therapy is needed for all adults with AML. Recent advances in allogeneic transplantation, a better understanding of prognostic factors, and development of targeted agents have only modestly improved overall outcome when large populations of patients are considered. Although an explosion in knowledge about the molecular pathogenesis of AML has outpaced treatment advances, such insights hold promise for the development of new therapies directed at specific molecular abnormalities that perturb malignant cell survival pathways. The current approach in 2010 to the management of this disease is presented through a discussion of illustrative cases. FAU - Rowe, Jacob M AU - Rowe JM AD - Rambam Health Care Campus and Technion, Israel Institute of Technology, Haifa, Israel. rowe@jimmy.harvard.edu FAU - Tallman, Martin S AU - Tallman MS LA - eng PT - Case Reports PT - Journal Article DEP - 20100617 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antineoplastic Agents) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/therapeutic use MH - Cytogenetics MH - Female MH - Humans MH - Leukemia, Myeloid, Acute/*diagnosis/drug therapy/genetics/*therapy MH - Male MH - Middle Aged MH - Remission Induction MH - Survival Analysis MH - Transplantation, Homologous EDAT- 2010/06/19 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/06/19 06:00 PHST- 2010/06/19 06:00 [entrez] PHST- 2010/06/19 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - S0006-4971(20)31178-2 [pii] AID - 10.1182/blood-2010-05-260117 [doi] PST - ppublish SO - Blood. 2010 Oct 28;116(17):3147-56. doi: 10.1182/blood-2010-05-260117. Epub 2010 Jun 17.