Table 2.

Morphologic, prognostic, and immunosuppression therapy response distribution

CharacteristicAAPost-AA MDSHypoplastic MDSMDS
Marrow cellularity Decreased Mostly Increased Decreased Normal/ increased 
Abnormal neutrophils − possible 
Abnormal megakaryocytes − − 
Blasts Absent Increased +/− Often increased 
Megakaryocytes Absent/decreased Absent 
Fibrosis − − Occasional Occasional 
Progression ∼10% >25% >25% 
Response to IST ++ − − 
PNH defect ∼30% Possible Rare Absent 
T-cell activation +/− 
LGL − − 
CharacteristicAAPost-AA MDSHypoplastic MDSMDS
Marrow cellularity Decreased Mostly Increased Decreased Normal/ increased 
Abnormal neutrophils − possible 
Abnormal megakaryocytes − − 
Blasts Absent Increased +/− Often increased 
Megakaryocytes Absent/decreased Absent 
Fibrosis − − Occasional Occasional 
Progression ∼10% >25% >25% 
Response to IST ++ − − 
PNH defect ∼30% Possible Rare Absent 
T-cell activation +/− 
LGL − − 

IST, immunosuppressive therapy; LGL, large granular lymphocyte leukemia; +, presence and/or response; −, negative response or absence.

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