Table 2 Characterization of therapy-related myeloid neoplasms

From: Therapy-related myeloid neoplasms following fludarabine, cyclophosphamide, and rituximab (FCR) treatment in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma

Latency (months)

35 (3–118)

Patients with persistent cytopenia after FCR (n=10) (months)

23 (3–43)

Patients recovered CBC after FCR and later developed cytopenia (n=18) (months)

42 (24–118)

Cytopenia (at diagnosis of t-MN)

 Anemia

n=18

Hemoglobin (g/dl)

Median/range 10 (6.6–15.7)

 Thrombocytopenia

n=19

Platelets ( × 109/l)

Median/range 45.5 (7–388)

 Neutropenia

n=16

Absolute neutrophil count (ANC) ( × 109/l)

Median/range 1.1(0.2–5.9)

 Bicytopenia

n=10

 Pancytopenia

n=9

Bone marrow

 Cellularity (%)

40 (20–90)

 Dysplasia

 

Trilineage dysplasia

n=18

Bilineage dysplasia

n=3

Single lineage dysplasia

n=4

Ring sideroblasts

n=12 (2–46%) and ≥15% in 8 cases

 CLL/SLL in bone marrow

 

Negative

n=17

≤10%

n=6

>10%

n=5

t-MN subtypes by WHO criteria

 t-AML

n=5

 t-MDS

n=23

RAEB-1

n=5

RAEB-2

n=3

RCMD

n=11

RARS

n=2

MDS-U

n=2

Cytogenetics

 Diploid

n=1

 Abnormal karyotype

n=26

−5/del(5q) and/or −7/del(7q)

n=18

Complex karyotype

n=2

Trisomy 8

n=3

−20/del(20q)

n=2

Disease-specific survival (months)

Median=7 (1–22)

  1. MDS-U, myelodysplastic syndromes-unclassifiable; RAEB, refractory anemia with excess blasts; RCMD, refractory cytopenia with multilineage dysplasia; t-AML, therapy-related acute myeloid leukemia; t-MDS, therapy-related myelodysplastic syndromes; therapy-related myeloid neoplasms: therapy-related myeloid neoplasms.