Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells in the marrow
Mean age at diagnosis: 70 years old, ~10,000 new cases diagnosed annually in US
Features:
• Presents with cytopenias (usually anemia).
• Bone marrow biopsy needed for diagnosis and risk-stratification
• Risks: infection, symptomatic cytopenias, transformation to acute leukemia
Management
• Conservative/supportive care (growth factors)
• Hypomethylating agents to improve counts
• Allogeneic stem cell transplant is only curative treatment
- BWH Medicine Chiefs @BrighamChiefs
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