Table 3 Clonal evolution at the time of progression to therapy-related myeloid neoplasm.

From: Therapy-related clonal cytopenia as a precursor to therapy-related myeloid neoplasms

UPIN

t-CC to

t-MN*

Cytogenetics at t-CC

# PV

at t-CC

PV at t-CC

(%VAF)

Cytogenetics at t-MN

# PV

at t-MN

PV at t-MN

(%VAF)

Summary

1012

6.6

46,XY,del(7)(p15)[20]

Not performed

46,XY,del(7)(p15)[20]

0

None

No change

1067

3.5

46, XX

2

BCOR (23%), U2AF1 (26%)

46, XX

3

BCOR (36%), U2AF1 (45%), NRAS (43%)

Clonal evolution

1132

3.0

47,XY, + 21[3]/46, XY[17]

Not performed

47,XY, + 21[7]/46,XY[13].

2

SRSF2 (44%), U2AF1 (36%)

No change

1142

98.7

Trisomy 8

Not performed

47,XX, + 8[6]/46,XX[14]

Not performed

No change

1724

47.8

46, XY

2

DNMT3A (8%), RUNX1 (48%)

46,XX,del(13)(q12q14)[7]/46,XX[13]

0

None

Clonal evolution

2004

33.1

46,XY,del(4)(q21q31),t(7;20)(q22;q13.1)[4]/ 46,XY[16].

0

None

45,XY,del(5)(q22q31),add(7)(q22),-14,add(18)(q21), add(19)(p13.1)[18]/ 45,XY,del(5)(q22q31),add(6)(p23),-18[2].

2

TP53 (25%) CEBPA (7%)

Clonal evolution

2043

6.1

47,XY, + 8[11]/46,XY[9]

Not performed

47,XY, + 8[8]/46,XY[12]

6

ASXL1 (46%), BCOR (65%), EZH2 (44%) EZH2 (50%), RUNX1 (13%), TET2 (44%)

No change

2052

8.1

46, XY

2

IDH1 (33%), SRSF2 (27%)

46, XY

Not performed

No change

2057

5.4

46, XY

2

TP53 (5.5%),

TP53 (7.5%)

46,XY,del(7)(q22)[11]/47,idem,+21[5]/46,XY[4]

0

None

Clonal evolution

  1. UPIN unique patient identification number, PV pathogenic variant, VAF variance allele frequency, t-CC therapy-related clonal cytopenia, t-MN therapy-related myeloid neoplasm.
  2. *interval in months.