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Table. 3. Reclassification of patients with MDS using the 2022 WHO diagnostic criteria
MDS subtype 2022 WHO classification
MDS-5q MDS-biTP53 MDS-SF3B1 Presumed
MDS-SF3B1
MDS-LB MDS-LB-RS MDS-IB1 MDS-IB2 AML N (%)
2017 WHO classification
MDS-del(5q) 134 5 0 0 0 0 0 0 0 139 (5.7)
MDS-SLD 0 4 0 22 165 0 0 0 0 191 (7.8)
MDS-MLD 0 32 0 39 561 0 0 0 7 639 (26.0)
MDS-SLD/MLD* 0 3 0 4 83 0 0 0 1 91 (3.7)
MDS-RS-SLD 0 1 214 0 3 28 0 0 0 246 (10.0)
MDS-RS-MLD 0 14 135 0 14 48 0 0 1 212 (8.6)
MDS-RS-SLD/MLD* 0 1 1 0 0 1 0 0 0 3 (0.1)
MDS-EB-1 0 59 0 0 0 0 392 0 7 458 (18.7)
MDS-EB-2 0 79 0 0 0 0 0 331 19 429 (17.5)
MDS-U 0 1 2 7 36 0 0 0 0 46 (1.9)
N (%) 134 (5.5) 199 (8.2) 352 (14.6) 72 (3.0) 862 (35.7) 77 (3.2) 392 (16.2) 331 (13.7) 35 2,454

*“MDS-SLD/MLD” and “MDS-RS-SLD/MLD” indicate that the number of dysplastic lineages was not specified, based on the pre-existing diagnosis assigned by Bernard, et al. [9]

Abbreviations: -del(5q), with isolated del(5q); -SLD, with single lineage dysplasia; -MLD, with multilineage dysplasia; -RS, with ring sideroblasts; -EB, with excess blasts; MDS-U, MDS, unclassifiable; -5q, with low blasts and isolated 5q deletion, -biTP53, with biallelic TP53 inactivation; -SF3B1, with low blasts and SF3B1 mutation;-LB, with low blasts; -IB, with increased blasts.

Ann Lab Med 2025;45:36~43 https://doi.org/10.3343/alm.2024.0079

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