title: [Myelodysplastic syndrome with early presentation of refractory monolineage cytopenia-with report of 13 cases].
abstract: To find the relationship between myelodysplastic syndrome (MDS) and refractory monolineage cytopenia, thirteen cases of MDS with early presentation of monolineage refractory cytopenia were analyzed retrospectively. The results were as follows: (1) The percentage of 13 cases with refractory monolineage cytopenia were 5.9% of the total 219 MDS patients in the past 10 years. (2) The median time of patients with monlineage cytopenia to M DS diagnosed was 48.5 +/- 55.3 months. The median times from monolineage cytopenia to MDS diagnosed for patients with neutropenia, erythrocytopenia and thrombocytopenia were 12.5 +/- 9.5 months, 53.8 +/- 54.6 months and 59.2 +/- 65.5 months, respectively. (3) The common characteristics of 13 cases were as follows: (a) the macrocytic erythrocytes in peripheral blood and the percentage of intermediate and late erythroblast in bone marrow were increased; (b) occasionally few cells with dysplasia could be found; (c) all patients with erythrocytopenia and thrombocytopenia transformed to RA and RAS while the most of patients with neutropenia transformed to RAEB subtype; (d) autoantibody could be found in part of the patients. It is concluded that some of refractory monolineage cytopenias in essence are the early states of MDS.
authors.affiliation: Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China. chensc@csc.punch.an.cn
authors.forename: Shu-Chang
authors.initials: SC
authors.lastname: Cheng
authors.forename: Yan-Fang
authors.initials: YF
authors.lastname: Yu
authors.forename: Shu-Lan
authors.initials: SL
authors.lastname: Li
authors.forename: Yu-Zhou
authors.initials: YZ
authors.lastname: Wang
authors.forename: Chang-Wen
authors.initials: CW
authors.lastname: Ge
authors.forename: Su-Fang
authors.initials: SF
authors.lastname: Feng
authors.forename: Hai-Li
authors.initials: HL
authors.lastname: Liu
authors.forename: Wen-Tong
authors.initials: WT
authors.lastname: Liang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000743:Anemia, Hemolytic / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000175:diagnosis*; D009503:Neutropenia / Q000175:diagnosis*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis*; D012189:Retrospective Studies