Table 8

Cytogenetic abnormalities sufficient for diagnosis of AML with myelodysplasia-related changes when 20% or more PB or BM blasts are present

Complex karyotype* Unbalanced abnormalities Balanced abnormalities 
−7 or del(7q) t(11;16)(q23;p13.3) 
−5 or t(3;21)(q26.2;q22.1) 
i(17q) or t(17p) t(1;3)(p36.3;q21.1) 
−13 or del(13q) t(2;11)(p21;q23) 
del(11q) t(5;12)(q33;p12) 
del(12p) or t(12p) t(5;7)(q33;q11.2) 
del(9q) t(5;17)(q33;p13) 
idic(X)(q13) t(5;10)(q33;q21) 
 t(3;5)(q25;q34) 
Complex karyotype* Unbalanced abnormalities Balanced abnormalities 
−7 or del(7q) t(11;16)(q23;p13.3) 
−5 or t(3;21)(q26.2;q22.1) 
i(17q) or t(17p) t(1;3)(p36.3;q21.1) 
−13 or del(13q) t(2;11)(p21;q23) 
del(11q) t(5;12)(q33;p12) 
del(12p) or t(12p) t(5;7)(q33;q11.2) 
del(9q) t(5;17)(q33;p13) 
idic(X)(q13) t(5;10)(q33;q21) 
 t(3;5)(q25;q34) 
*

Three or more unrelated abnormalities, none of which are included in the ″AML with recurrent genetic abnormalities″ subgroup; such cases should be categorized in the appropriate cytogenetic group.

These abnormalities most commonly occur in therapy-related disease, and therapy-related AML should be excluded before these are used as evidence for diagnosis of AML with myelodysplasia-related changes.

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