Table 3

2001 World Health Organization criteria for essential thrombocythemia

2001 criteria for ET
Positive criteria 
    1. Sustained platelet count ≥ 600 × 109/L 
    2. Bone marrow biopsy specimen showing proliferation mainly of the megakaryocytic lineage with increased numbers of enlarged, mature megakaryocytes 
Criteria of exclusion 
    1. No evidence of polycythemia vera 
        a. Normal red cell mass or hemoglobin < 18.5 g/dL in men, 16.5 g/dL in women 
        b. Stainable iron in marrow, normal serum ferritin, or normal MCV 
        c. If the former condition is not met, failure of iron trial to increase red cell mass or hemoglobin levels to the PV range 
    2. No evidence of chronic myeloid leukemia: no Philadelphia chromosome and no BCR-ABL fusion gene 
    3. No evidence of chronic idiopathic myelofibrosis 
        a. Collagen fibrosis absent 
        b. Reticulin fibrosis minimal or absent 
    4. No evidence of myelodysplastic syndrome 
        a. No del(5q), t(3;3)(q21;q26), inv(3)(q21q26) 
        b. No significant granulocytic dysplasia, few, if any, micromegakaryocytes 
    5. No evidence that thrombocytosis is reactive caused by 
        a. Underlying inflammation or infection 
        b. Underlying neoplasm 
        c. Prior splenectomy 
2001 criteria for ET
Positive criteria 
    1. Sustained platelet count ≥ 600 × 109/L 
    2. Bone marrow biopsy specimen showing proliferation mainly of the megakaryocytic lineage with increased numbers of enlarged, mature megakaryocytes 
Criteria of exclusion 
    1. No evidence of polycythemia vera 
        a. Normal red cell mass or hemoglobin < 18.5 g/dL in men, 16.5 g/dL in women 
        b. Stainable iron in marrow, normal serum ferritin, or normal MCV 
        c. If the former condition is not met, failure of iron trial to increase red cell mass or hemoglobin levels to the PV range 
    2. No evidence of chronic myeloid leukemia: no Philadelphia chromosome and no BCR-ABL fusion gene 
    3. No evidence of chronic idiopathic myelofibrosis 
        a. Collagen fibrosis absent 
        b. Reticulin fibrosis minimal or absent 
    4. No evidence of myelodysplastic syndrome 
        a. No del(5q), t(3;3)(q21;q26), inv(3)(q21q26) 
        b. No significant granulocytic dysplasia, few, if any, micromegakaryocytes 
    5. No evidence that thrombocytosis is reactive caused by 
        a. Underlying inflammation or infection 
        b. Underlying neoplasm 
        c. Prior splenectomy 

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