Table 5

Differences between AML with MD-related changes and AML with mutated NPM1

FeatureAML with MD-related changesAML with mutated NPM1
Nucleophosmin Nuclear (unmutated) Cytoplasmic (mutated) 
WBC count Often severe pancytopenia Usually high WBC count 
Previous history of MDS or MDS/MPN Frequent Usually absent 
Karyotype Usually abnormal Usually normal (85%) 
CD34 Usually positive Usually negative 
Prognosis Usually poor Favorable (if FLT3-ITD absent) 
FeatureAML with MD-related changesAML with mutated NPM1
Nucleophosmin Nuclear (unmutated) Cytoplasmic (mutated) 
WBC count Often severe pancytopenia Usually high WBC count 
Previous history of MDS or MDS/MPN Frequent Usually absent 
Karyotype Usually abnormal Usually normal (85%) 
CD34 Usually positive Usually negative 
Prognosis Usually poor Favorable (if FLT3-ITD absent) 

WBC indicates white blood cell.

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