Table 6.

Comparative MDS classification

WHO revised fourth editionWHO fifth editionICC
MDS with RS (most SF3B1-mutated cases) MDS with LB and SF3B1 mutation MDS with mutated SF3B1 
MDS with RS (SF3B1 wild-type cases) MDS with LB and RS Not included 
MDS with isolated del(5q) MDS with LB and isolated 5q deletion MDS with del(5q) 
MDS with SLD MDS with LB MDS-NOS with SLD 
MDS with MLD MDS with LB MDS-NOS with MLD 
MDS, unclassifiable (most cases) CCUS MDS-NOS without dysplasia 
Not included MDS, hypoplastic Not included 
MDS with EB1 MDS with IB1 MDS with EB 
MDS with EB2 MDS with IB2 MDS/AML 
Not included MDS with fibrosis Not included 
Not included MDS with bi-allelic TP53 inactivation MDS and MDS/AML with mutated TP53 
WHO revised fourth editionWHO fifth editionICC
MDS with RS (most SF3B1-mutated cases) MDS with LB and SF3B1 mutation MDS with mutated SF3B1 
MDS with RS (SF3B1 wild-type cases) MDS with LB and RS Not included 
MDS with isolated del(5q) MDS with LB and isolated 5q deletion MDS with del(5q) 
MDS with SLD MDS with LB MDS-NOS with SLD 
MDS with MLD MDS with LB MDS-NOS with MLD 
MDS, unclassifiable (most cases) CCUS MDS-NOS without dysplasia 
Not included MDS, hypoplastic Not included 
MDS with EB1 MDS with IB1 MDS with EB 
MDS with EB2 MDS with IB2 MDS/AML 
Not included MDS with fibrosis Not included 
Not included MDS with bi-allelic TP53 inactivation MDS and MDS/AML with mutated TP53 

CCUS, clonal cytopenia of undetermined significance; EB, excess blasts; IB, increased blasts; LB, low blasts; MLD, multilineage dysplasia; NOS, not otherwise specified; RS, ring sideroblasts; SLD, single lineage dysplasia.

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