Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion.
The hematological and clinical features of 26 patients with myelodysplasia and a chromosome 5q deletion in the bone marrow are presented. We have examined the relationship of French-American-British Co-operative Group (FAB) 1982 classification and bone marrow karyotype at diagnosis with patient outc...
Main Authors: | , , , , , , , , |
---|---|
Format: | Journal article |
Language: | English |
Published: |
1995
|
_version_ | 1797084292401070080 |
---|---|
author | Lewis, S Oscier, D Boultwood, J Ross, F Fitchett, M Rack, K Abrahamson, G Buckle, V Wainscoat, J |
author_facet | Lewis, S Oscier, D Boultwood, J Ross, F Fitchett, M Rack, K Abrahamson, G Buckle, V Wainscoat, J |
author_sort | Lewis, S |
collection | OXFORD |
description | The hematological and clinical features of 26 patients with myelodysplasia and a chromosome 5q deletion in the bone marrow are presented. We have examined the relationship of French-American-British Co-operative Group (FAB) 1982 classification and bone marrow karyotype at diagnosis with patient outcome and the presence or absence of the classical features of the 5q-syndrome. Those patients classified as refractory anemia (RA) with no additional karyotypic abnormalities have the typical features of the 5q-syndrome and a good prognosis. None of the patients in this group transformed to acute leukemia during the period of follow-up. Patients with either refractory anemia and excess blasts (RAEB) or additional karyotypic abnormalities show many of the hematologic features of the 5q-syndrome but do not share the good prognosis. We conclude that the 5q-syndrome may be best defined as primary MDS of the FAB type RA with a 5q deletion as the sole karyotypic abnormality. This simple definition will distinguish patients with a good prognosis and all the classical features of the 5q-syndrome. |
first_indexed | 2024-03-07T01:53:26Z |
format | Journal article |
id | oxford-uuid:9ae9e611-be73-452e-b036-20f5f3746d1e |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T01:53:26Z |
publishDate | 1995 |
record_format | dspace |
spelling | oxford-uuid:9ae9e611-be73-452e-b036-20f5f3746d1e2022-03-27T00:24:45ZHematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9ae9e611-be73-452e-b036-20f5f3746d1eEnglishSymplectic Elements at Oxford1995Lewis, SOscier, DBoultwood, JRoss, FFitchett, MRack, KAbrahamson, GBuckle, VWainscoat, JThe hematological and clinical features of 26 patients with myelodysplasia and a chromosome 5q deletion in the bone marrow are presented. We have examined the relationship of French-American-British Co-operative Group (FAB) 1982 classification and bone marrow karyotype at diagnosis with patient outcome and the presence or absence of the classical features of the 5q-syndrome. Those patients classified as refractory anemia (RA) with no additional karyotypic abnormalities have the typical features of the 5q-syndrome and a good prognosis. None of the patients in this group transformed to acute leukemia during the period of follow-up. Patients with either refractory anemia and excess blasts (RAEB) or additional karyotypic abnormalities show many of the hematologic features of the 5q-syndrome but do not share the good prognosis. We conclude that the 5q-syndrome may be best defined as primary MDS of the FAB type RA with a 5q deletion as the sole karyotypic abnormality. This simple definition will distinguish patients with a good prognosis and all the classical features of the 5q-syndrome. |
spellingShingle | Lewis, S Oscier, D Boultwood, J Ross, F Fitchett, M Rack, K Abrahamson, G Buckle, V Wainscoat, J Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title | Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title_full | Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title_fullStr | Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title_full_unstemmed | Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title_short | Hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion. |
title_sort | hematological features of patients with myelodysplastic syndromes associated with a chromosome 5q deletion |
work_keys_str_mv | AT lewiss hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT oscierd hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT boultwoodj hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT rossf hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT fitchettm hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT rackk hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT abrahamsong hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT bucklev hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion AT wainscoatj hematologicalfeaturesofpatientswithmyelodysplasticsyndromesassociatedwithachromosome5qdeletion |