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Clonal evolution in MPNs: molecular monitoring and implications for treatment

Paola Guglielmelli, MD, PhD, Careggi University Hospital, Florence, Italy, discusses clonal evolution in myeloproliferative neoplasms (MPNs), exploring when molecular monitoring should be performed and how findings can guide treatment decisions. Dr Guglielmelli highlights the prognostic significance of driver mutations, variant allele frequency (VAF), and high-risk mutations, emphasizing the need for standardized approaches to molecular monitoring and treatment adaptation. This presentation took place at the 4th International Workshop on Myelodysplastic Syndromes & Myeloproliferative Neoplasms (iwMDS/iwMPN) 2026, held in Washington, DC.

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