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Myelodysplastic syndromes Achievements in understanding and treatment
[object Object],[object Object],[object Object],Myelodysplastic syndromes
[object Object],[object Object],[object Object],[object Object],[object Object],Myelodysplastic syndromes FAB classification  system
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Myelodysplastic syndromes WHO classification system
[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],Myelodysplastic syndromes IPSS risk-based classification system
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Myelodysplastic syndromes Overall IPSS score and survival
Known molecular abnormalities in MDS 5-10 Point mutation  (codon 969 or rarely 301) FMS (encodes M-CSF receptor) 5 Point mutation or deletion of other allele P53 10-30% Point mutation  (codon 12, 13 or 61) RAS (N or K) Incidence (%) Type of anomaly Gene
Diagnosis of MDS ,[object Object]
MDS – clinical findings ,[object Object],[object Object],[object Object],[object Object]
Myelodysplastic features in MDS Bone marrow:  multinuclearity, nuclear fragments, megaloblastoid changes, cytoplasmic abnormalities, ringed sideroblasts Peripheral blood: Poikilocytosis, anisocytosis, nucleated red blood cells Dyserythropoiesis Bone marrow and/or peripheral blood findings MDS
Myelodysplastic features in MDS Micromegakariocytes Large mononucle a r forms Multiple small nuclei Dysmegakariopoiesis  Nuclear abnormalities including: hypolobulation, ring-shaped nuclei, hypogranulation  Dysgranulopoiesis Bone marrow and/or peripheral blood findings MDS
Bone marrow biopsy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dysplasia, apoptosis and cytokines in MDS ,[object Object],[object Object]
Evidence for an immune – mediated suppression of the marrow in MDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Medicine 5th year, 5th lecture/part two (Dr. Abdulla Sharief)

  • 1. Myelodysplastic syndromes Achievements in understanding and treatment
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  • 7. Known molecular abnormalities in MDS 5-10 Point mutation (codon 969 or rarely 301) FMS (encodes M-CSF receptor) 5 Point mutation or deletion of other allele P53 10-30% Point mutation (codon 12, 13 or 61) RAS (N or K) Incidence (%) Type of anomaly Gene
  • 8.
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  • 10. Myelodysplastic features in MDS Bone marrow: multinuclearity, nuclear fragments, megaloblastoid changes, cytoplasmic abnormalities, ringed sideroblasts Peripheral blood: Poikilocytosis, anisocytosis, nucleated red blood cells Dyserythropoiesis Bone marrow and/or peripheral blood findings MDS
  • 11. Myelodysplastic features in MDS Micromegakariocytes Large mononucle a r forms Multiple small nuclei Dysmegakariopoiesis Nuclear abnormalities including: hypolobulation, ring-shaped nuclei, hypogranulation Dysgranulopoiesis Bone marrow and/or peripheral blood findings MDS
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