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Myelodysplasia  : from marrow failure to malignant transformation Ahmed Elshebiny, MD University of Menoufyia
Blood is continuously renewed
The Bone Marrow is the blood Factory May be exposed to damage or failure
 
 
Bone Marrow Failure Syndromes Bone Marrow Failure Syndromes   AA PNH MDS Acquired Constitutional Autoimmune Fanconi DC Diamond-Blackfan others Toxic, Irradiation, Infection Pure Red Cell Aplasia Agranulocytosis
Bone Marrow Failure ,[object Object],[object Object]
Venn Diagram AML APLASTIC ANEMIA MDS PNH
Bone Marrow Failure Syndromes
Hematology lectures Myelodysplasia
Myelodysplastic syndrome (MDS) ,[object Object],[object Object]
Dysplastic erythroid maturation (dyserythropoiesis) Normal Dyserythropoiesis
Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object]
MDS (clinical) ,[object Object],[object Object]
MDS (clinical) ,[object Object],[object Object]
Cytogenetic abnormalities in MDS
 
 
FAB classification of MDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FAB classification of MDS
Newer classifications ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fate of MDS ,[object Object],[object Object]
Sideroblastic anemias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ring sideroblasts
Aplastic Anemias Aplastic Anemias Acquired Conistituitional Single line Agranulocytosis Pure Red Cell Aplasia Multilineage
Aplastic Anemia ,[object Object],[object Object],[object Object],[object Object]
Aplastic Anemia
Drugs associated with AA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pancytopenia ,[object Object]
1-Pancytopenia with hypocellular bone marrow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2-Pancytopenia with cellular bone marrow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3- Hypocellular marrow with or without cytopenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations of MDS ,[object Object],[object Object],[object Object]
Iron Studies ,[object Object],[object Object],[object Object],[object Object]
Bone marrow aspiration and biopsy
PNH ,[object Object],[object Object],[object Object]
P.N.H
PNH and Aplastic Anemia ,[object Object],[object Object],[object Object],[object Object]
 
Approaches to treatment of Bone Marrow Failure Syndromes ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object]
THANK  YOU

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