Blastic plasmacytoid dendritic cell neoplasm (BPDCN)
Prepared with OnCo (onco.cc/prep/bpdcn/). Orientation, not medical advice; your team knows your case.
My details
What I know, what is unclear, changes to discuss
Saved in this browserMy questions
14 on the sheet- 1.What is my exact diagnosis, stage, and grade, and which tests established them?
- 2.Which biomarkers have been tested on my tumour (for example CD123, CD4, CD56, TCF4, TCL1 immunophenotype, Absence of MPO, lysozyme, CD3, MYC rearrangement, TET2, ASXL1, ZRSR2 mutations, CSF examination), and what were the results?
- 3.Which subtype is my cancer, and does that change the recommended treatment?
- 4.Is germline (inherited) genetic testing recommended for me or my family?
- 5.For my situation (first line), which of the standard options do you recommend and why?
- 6.Am I a candidate for Tagraxofusp, Pivekimab sunirine, Venetoclax, and what side effects should I expect?
- 7.For my situation (consolidation), which of the standard options do you recommend and why?
- 8.For my situation (relapsed), which of the standard options do you recommend and why?
- 9.Am I a candidate for Venetoclax, Pivekimab sunirine, and what side effects should I expect?
- 10.Are there clinical trials I could join, for example of Pivekimab sunirine, Venetoclax, Allogeneic stem cell transplantation?
- 11.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
- 12.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
- 13.I read that “No randomised trials; sequencing of CD123 agents unknown”. How does that affect my plan?
- 14.I read that “Capillary leak syndrome with tagraxofusp”. How does that affect my plan?
The words I may hear
- Rare cancers: Rare cancers are those with fewer than about 6 new cases per 100,000 people per year.
Tests and results to bring
Biomarker results to ask for: CD123, CD4, CD56, TCF4, TCL1 immunophenotype, Absence of MPO, lysozyme, CD3, MYC rearrangement (8q24), TET2, ASXL1, ZRSR2 mutations, CSF examination.
Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.
The treatments I may be offered
- First line: Tagraxofusp (monitor albumin for capillary leak) or pivekimab sunirine (2026); alternatives hyper-CVAD or venetoclax-based regimens; CNS prophylaxis. (Tagraxofusp, Pivekimab sunirine, Venetoclax)
- Consolidation: Allogeneic HSCT in first complete remission for eligible patients; autologous transplant in selected cases (Japanese data). (Allogeneic stem cell transplantation, Autologous stem cell transplant (high-dose therapy))
- Relapsed: Alternative CD123 agent, venetoclax combinations, clinical trials; prognosis poor. (Venetoclax, Pivekimab sunirine)
From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.