Table 1

Pre-HSCT treatment guidelines for JMML

AsymptomaticHigh white blood cell count, pulmonary problems, and/or prominent organomegalyModerately/Severely Ill
No pre-HSCTtherapy Oral 6-mercaptopurine (50 mg/m2 per day) Low-dose intravenous cytarabine (40 mg/m2 per day × 5 days); if no improvement of symptoms: high-dose intravenous cytarabine (2 g/m2 per day × 5 days) + fludarabine (30 mg/m2 per day × 5 days) 
AsymptomaticHigh white blood cell count, pulmonary problems, and/or prominent organomegalyModerately/Severely Ill
No pre-HSCTtherapy Oral 6-mercaptopurine (50 mg/m2 per day) Low-dose intravenous cytarabine (40 mg/m2 per day × 5 days); if no improvement of symptoms: high-dose intravenous cytarabine (2 g/m2 per day × 5 days) + fludarabine (30 mg/m2 per day × 5 days) 

These pre-HSCT guidelines are provided for physician consideration.

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