Primary myelofibrosis: 2014 update on diagnosis, risk-stratification, and management.

  title={Primary myelofibrosis: 2014 update on diagnosis, risk-stratification, and management.},
  author={Ayalew Tefferi},
  journal={American journal of hematology},
  volume={89 9},
DISEASE OVERVIEW Primary myelofibrosis (PMF) is a myeloproliferative neoplasm characterized by stem cell-derived clonal myeloproliferation, abnormal cytokine expression, bone marrow fibrosis, anemia, splenomegaly, extramedullary hematopoiesis (EMH), constitutional symptoms, cachexia, leukemic progression, and shortened survival. DIAGNOSIS DIAGNOSIS is based on bone marrow morphology. The presence of JAK2, CALR, or MPL mutation is supportive but not essential for diagnosis; approximately 90… CONTINUE READING


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