Table 3.

Recurring chromosomal abnormalities considered presumptive evidence of MDS in the absence of definitive morphological features (Swerdlow et al3).

AbnormalityWHO-estimated frequency in MDS, %Gene(s) involved (HGNC)
Comments: Although +8, del(20q), and –Y are common chromosomal abnormalities in MDS, the presence of one of these three abnormalities as the sole cytogenetic abnormality in cases where morphological criteria for MDS are not met is not considered to be enough for a presumptive diagnosis to be made. 
t-MDS indicates therapy-related myelodysplastic syndromes; WHO, World Health Organization; HGNC, HUGO Gene Nomenclature Committee gene names (current as of April 2009). 
Unbalanced 
    −7 or del(7q) 10; 50 in t-MDS Unknown 
    −5 or del(5q) 10; 40 in t-MDS Unknown; candidates include RPS14, SPARC, RBM22, CTNNA1, CDC25C, and others, including combinations 
    i(17q) or t(17p) 3–5 TP53 
    −13 or del(13q) Unknown 
    del(11q) Unknown 
    del(12p) or t(12p) ETV6 in some cases 
    del(9q) 1–2 Unknown 
    idic(X)(q13) 1–2 Unknown 
Balanced 
    t(11;16)(q23;p13.3) 3 in t-MDS MLL, CREBBP 
    t(3;21)(q26.2;q22.1) 2 in t-MDS RUNX1, MDS1-EVI1 
    t(1;3)(p36.3;q21.2) < 1 PRDM16, MDS1-EVI1 
    t(2;11)(p21;q23) < 1 miR-125b-1 
    inv(3)(q21q26.2) < 1 MDS1-EVI1, RPN1 regulatory elements 
    t(6;9)(p23;q34) < 1 DEK-NUP214 
AbnormalityWHO-estimated frequency in MDS, %Gene(s) involved (HGNC)
Comments: Although +8, del(20q), and –Y are common chromosomal abnormalities in MDS, the presence of one of these three abnormalities as the sole cytogenetic abnormality in cases where morphological criteria for MDS are not met is not considered to be enough for a presumptive diagnosis to be made. 
t-MDS indicates therapy-related myelodysplastic syndromes; WHO, World Health Organization; HGNC, HUGO Gene Nomenclature Committee gene names (current as of April 2009). 
Unbalanced 
    −7 or del(7q) 10; 50 in t-MDS Unknown 
    −5 or del(5q) 10; 40 in t-MDS Unknown; candidates include RPS14, SPARC, RBM22, CTNNA1, CDC25C, and others, including combinations 
    i(17q) or t(17p) 3–5 TP53 
    −13 or del(13q) Unknown 
    del(11q) Unknown 
    del(12p) or t(12p) ETV6 in some cases 
    del(9q) 1–2 Unknown 
    idic(X)(q13) 1–2 Unknown 
Balanced 
    t(11;16)(q23;p13.3) 3 in t-MDS MLL, CREBBP 
    t(3;21)(q26.2;q22.1) 2 in t-MDS RUNX1, MDS1-EVI1 
    t(1;3)(p36.3;q21.2) < 1 PRDM16, MDS1-EVI1 
    t(2;11)(p21;q23) < 1 miR-125b-1 
    inv(3)(q21q26.2) < 1 MDS1-EVI1, RPN1 regulatory elements 
    t(6;9)(p23;q34) < 1 DEK-NUP214 
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