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Estimating the prevalence of myelodysplastic syndromes in patients with unexplained cytopenias: A retrospective study of 322 bone marrows

✍ Scribed by Rena Buckstein; Karen Jang; Jessica Friedlich; Liying Zhang; Marciano Reis; Alden Chesney; Richard A. Wells


Publisher
Elsevier Science
Year
2009
Tongue
English
Weight
228 KB
Volume
33
Category
Article
ISSN
0145-2126

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✦ Synopsis


Although unexplained anemia is common in the elderly, the prevalence of MDS is poorly defined. We reviewed 2267 bone marrows reviewed at our center between the years 2002 and 2005. Of these, 322 met our criteria for inclusion (14%). Seventy-three patients (22.6%) had a confirmed diagnosis of MDS and 32 (9.9%) had suspected MDS. Confirmed or suspected MDS was more likely in patients aged >65 (31.5% and 11%, respectively). Age, MCV, LDH and RDW were independently predictive of MDS. Extrapolation of our findings to the elderly anemic individuals in the community suggests MDS prevalence may be higher than previously postulated.


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