Table 1.

Risk of myeloid malignancy and age-related clonal hematopoiesis in inherited BMF/MDS syndromes

Incidence of MDS/AMLPeak age of MDS/AML diagnosisPrevalence of CHIP in carriers without hematologic malignancy
SAMD9/9L syndromes Moderate* Early childhood Absent 
Fanconi anemia 30%-40% Childhood ** 
GATA2 deficiency 75% Late childhood through young adult 20%-50% 
Shwachman-Diamond syndrome 10%-30% Late childhood through young adult 60% TP53
Other CHIP <10% 
RUNX1-FPDMM 20%-40% Any age 25%-60% 
Short telomere syndromes 15% Adults >50 years 30% 
Germline DDX41 40%-50% Adults >60 years Rare 
Incidence of MDS/AMLPeak age of MDS/AML diagnosisPrevalence of CHIP in carriers without hematologic malignancy
SAMD9/9L syndromes Moderate* Early childhood Absent 
Fanconi anemia 30%-40% Childhood ** 
GATA2 deficiency 75% Late childhood through young adult 20%-50% 
Shwachman-Diamond syndrome 10%-30% Late childhood through young adult 60% TP53
Other CHIP <10% 
RUNX1-FPDMM 20%-40% Any age 25%-60% 
Short telomere syndromes 15% Adults >50 years 30% 
Germline DDX41 40%-50% Adults >60 years Rare 
*

Lack of cohort studies limits definition of MDS/AML prevalence in SAMD9/9L syndromes.

**

Large-scale NGS studies in individuals with Fanconi anemia without MDS/AML have not been published.

RUNX1-FPDMM, RUNX1 familial platelet disorder with associated myeloid malignancies.

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