Lower-Risk MDS

Risk stratification (IPSS-R)

0 0.5 1.0 1.5 2.0 3.0 4.0
blast % ≤2   >2 - <5   5 - 10 >10  
hgb ≥10   8 - <10 <8      
plt ≥100 50 - 100 <50        
ANC ≥0.8 <0.8          
cytogenetics very good

-Y, del(11q)

  good

normal, del(12p), del(20q), del(5q), double w del(5q)

  intermediate

single NOS, del(7q), +8, +19, i(17q), double w/o del(5q) or -7/del(7q)

poor

-7, double w -7/del(7q), inv(3)/t(3q)/del(3q), 3 abnl

very poor

>3 abnl

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