Table 1.

Characteristics of the 5q– syndrome (according to Van den Berghe,1 subsequently restricted to cases with marrow blasts < 5% by the WHO classification3).

Clinical and Biological Features 
Female preponderance 
Severe anemia 
Pronounced macrocytosis 
Normal or moderately decreased leucocytes 
Normal or moderately increased platelets 
Rare AML transformation (10%) 
Prolonged survival 
Bone Marrow Features 
Characteristic dysmegakaryopoiesis (large monolobulated megakaryocytes with excentred nucleus) 
No or moderate blast excess (restricted to marrow blasts < 5% in the WHO classification3) 
Isolated 5q deletion 
Clinical and Biological Features 
Female preponderance 
Severe anemia 
Pronounced macrocytosis 
Normal or moderately decreased leucocytes 
Normal or moderately increased platelets 
Rare AML transformation (10%) 
Prolonged survival 
Bone Marrow Features 
Characteristic dysmegakaryopoiesis (large monolobulated megakaryocytes with excentred nucleus) 
No or moderate blast excess (restricted to marrow blasts < 5% in the WHO classification3) 
Isolated 5q deletion 

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