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 |