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...

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Main Authors: Lewis, S, Oscier, D, Boultwood, J, Ross, F, Fitchett, M, Rack, K, Abrahamson, G, Buckle, V, Wainscoat, J
Format: Journal article
Language:English
Published: 1995
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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.
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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
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