Correlation between dysplastic lineage and type of cytopenia in myelodysplastic syndromes patients with refractory anemia according to the FAB classification

Am J Clin Pathol. 2013 Aug;140(2):253-7. doi: 10.1309/AJCPJEFPNTMM3KSH.

Abstract

Objectives: To analyze the correlation between dysplastic lineage and type of cytopenia in myelodysplastic syndromes.

Methods: We analyzed the correlation between dysplasia and cell count using the data set of our previous morphologic study.

Results: There were no correlations between dysgranulopoiesis of 10% or more and absolute neutrophil count (ANC). Similarly, hyposegmented mature neutrophils (Pelger) of 10% or more were not related to ANC. Interestingly, the platelet count of patients with dysmegakaryopoiesis (dys Mgk) was higher than that of patients without dys Mgk (dys Mgk ≥10% vs <10%, P = .08; dys Mgk ≥40% vs <40%, P = .02; micromegakaryocytes ≥10% vs <10%, P = .004).

Conclusions: Since low cell counts did not correlate with the presence of dysplastic features, we suggest that dysplastic features do not directly relate to apoptosis.

Keywords: Cytopenia; Dysplastic features; Myelodysplastic syndromes; WHO classification.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anemia, Refractory / complications
  • Anemia, Refractory / pathology*
  • Blood Cell Count
  • Cell Lineage
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myelodysplastic Syndromes / complications
  • Myelodysplastic Syndromes / pathology*
  • Pancytopenia / complications
  • Pancytopenia / pathology*