Clinicopathological characteristics and management of extramedullary hematopoiesis: A review

Extramedullary hematopoiesis (EMH) is a rare entity most often associated with primary myelofibrosis, chronic myeloproliferative neoplasms, chronic hemolytic states, such as thalassemia, sickle cell anemia and certain solid tumors. Various theories have been postulated as the mechanism for occurrenc...

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Main Authors: Sweety Gupta, Ajay S. Krishnan, Jyoti Singh, Amit Gupta, Manoj Gupta
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Pediatric Hematology Oncology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468124522005137
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author Sweety Gupta
Ajay S. Krishnan
Jyoti Singh
Amit Gupta
Manoj Gupta
author_facet Sweety Gupta
Ajay S. Krishnan
Jyoti Singh
Amit Gupta
Manoj Gupta
author_sort Sweety Gupta
collection DOAJ
description Extramedullary hematopoiesis (EMH) is a rare entity most often associated with primary myelofibrosis, chronic myeloproliferative neoplasms, chronic hemolytic states, such as thalassemia, sickle cell anemia and certain solid tumors. Various theories have been postulated as the mechanism for occurrence of EMH. Iron deposition and/or fatty infiltration along with increased density of liver and spleen may be observed on imaging. Also, organs may show diffuse involvement or mass like foci of hematopoiesis on imaging. Treatment includes transfusion, surgery, hydroxyurea and radiation. In this review we narrate the clinicopathological features, radiological imaging and treatment strategies of non hepatosplenic Extramedullary hematopoiesis.
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spelling doaj.art-8fd87e03d9244fc680d9f7f9e31460492022-12-29T04:13:46ZengElsevierPediatric Hematology Oncology Journal2468-12452022-12-0174182186Clinicopathological characteristics and management of extramedullary hematopoiesis: A reviewSweety Gupta0Ajay S. Krishnan1Jyoti Singh2Amit Gupta3Manoj Gupta4Department of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, India; Corresponding author. Department of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, 249203, India.Department of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, IndiaDepartment of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, IndiaProfessor Department of Surgery, All India Institute of Medical Sciences, Rishikesh, IndiaDepartment of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, IndiaExtramedullary hematopoiesis (EMH) is a rare entity most often associated with primary myelofibrosis, chronic myeloproliferative neoplasms, chronic hemolytic states, such as thalassemia, sickle cell anemia and certain solid tumors. Various theories have been postulated as the mechanism for occurrence of EMH. Iron deposition and/or fatty infiltration along with increased density of liver and spleen may be observed on imaging. Also, organs may show diffuse involvement or mass like foci of hematopoiesis on imaging. Treatment includes transfusion, surgery, hydroxyurea and radiation. In this review we narrate the clinicopathological features, radiological imaging and treatment strategies of non hepatosplenic Extramedullary hematopoiesis.http://www.sciencedirect.com/science/article/pii/S2468124522005137Extramedullary hematopoiesisLiverSpleenImagingRadiation
spellingShingle Sweety Gupta
Ajay S. Krishnan
Jyoti Singh
Amit Gupta
Manoj Gupta
Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
Pediatric Hematology Oncology Journal
Extramedullary hematopoiesis
Liver
Spleen
Imaging
Radiation
title Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
title_full Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
title_fullStr Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
title_full_unstemmed Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
title_short Clinicopathological characteristics and management of extramedullary hematopoiesis: A review
title_sort clinicopathological characteristics and management of extramedullary hematopoiesis a review
topic Extramedullary hematopoiesis
Liver
Spleen
Imaging
Radiation
url http://www.sciencedirect.com/science/article/pii/S2468124522005137
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