Skip to main content

Myelodysplastic Syndromes

  • Reference work entry
  • First Online:
  • 1554 Accesses

Abstract

Myelodysplastic syndromes (MDS) are clonal haemopoietic stem cell disorders in which the haemopoietic process is ineffective resulting in cytopenias, morphologic dysplasia and progression to acute myeloid leukaemia. MDS is primarily a disease of the elderly, and the mean age varies from about 60 to 75 years. The diagnosis should be considered in any patient with unexplained refractory anaemia and confirmed by hypercellular marrow with morphologically abnormal erythroblasts with or without the presence of ringed sideroblasts. The prognosis is highly variable and is dependent on the classification ranging from a few months to 15 years with a median survival of 3 years. Blood transfusion is the mainstay of treatment.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   379.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Manoharan A, Brighton T, Gemmell R, Lopez K, Moran S, Kyle P, et al. Platelet dysfunction in myelodysplastic syndromes: a clinicopathological study. Int J Haematol. 2002;76:272–278.

    Article  CAS  Google Scholar 

  2. Zhou J, Orazi A, Czader MB. Myelodysplastic syndromes. Semin Diagn Pathol. 2011;28(4):258–72.

    Article  PubMed  Google Scholar 

  3. Rollison DE, Howlader N, Smith MT, Strom SS, Merritt WD, Ries LA, et al. Epidemiology of myelodysplastic syndromes and chronic myeloproliferative disorders in the United States 2001–2004, using data from the NAACCR and SEER programs. Blood. 2008;112:45–52.

    Article  CAS  PubMed  Google Scholar 

  4. Guralnik JM, Eisenstaedt RS, Ferrucci L, Klein HG, Woodman RC. Prevalence of anaemias in persons 65 years and older in the United States: evidence for a high rate of unexplained anaemia. Blood. 2004;104:2263–2268.

    Article  CAS  PubMed  Google Scholar 

  5. Saba HI. Myelodysplastic syndromes in the elderly: role of growth factors in management. Leuk Res. 1996;20(3):203–19.

    Article  PubMed  Google Scholar 

  6. Ria R, Moschetta A, Reale A, Mangialardi G, Catrovilli A, Vaca A, et al. Managing myelodysplastic symptoms in elderly patients. Clin Interv Aging. 2009;4:413–423. 2002.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Stone RM. How I treat patients with myelodysplastic syndromes. Blood. 2009;113:6296–6303.

    Article  CAS  PubMed  Google Scholar 

  8. Bennett I, Catovsky D, Daniel MT. Proposals for the classification of myelodysplastic syndromes. Br J Haemat. 1982;51:189–199.

    Article  CAS  Google Scholar 

  9. Vardimann IW, Harris NI, Brunning RV. The World Health Organisation (WHO) classification of myeloid neoplasms. Blood. 2002;100:2292–2303.

    Article  Google Scholar 

  10. Bain B. The WHO classification of myelodysplastic syndromes. Exp Oncol. 2004;26(3): 166–9.

    PubMed  Google Scholar 

  11. Greenberg P, Cox C, LeBeau MM, Fenaux P, Morel P, Sanz G, et al. International Scoring System for evaluating the prognosis in myelodysplastic syndromes. Blood. 1997;89:2079–2088.

    CAS  PubMed  Google Scholar 

  12. Malcovati I, Germing U, Kuendgen R, Della Prta MG, Pascutto C, Invernizzi R, et al. Time-dependent prognostic scoring system for predicting survival and leukemic evolution in myelodysplastic syndromes. J Clin Oncol. 2007;25:3947–3510.

    Article  Google Scholar 

  13. Cazzola M, Della Porta MG, Travaglino E, Malcovati L. Classification and prognostic evaluation of myelodysplastic syndromes. Semin Oncol. 2011;38:627–34.

    Article  CAS  PubMed  Google Scholar 

  14. Manoharan A, Reynolds J, Matthews J, Baxter H, Di Lulio J, Leahy M, et al. Flexible low-intensity combination chemotherapy for elderly patients with acute myeloid leukaemia. A Multicentre, Phase Study. Drugs Aging. 2007;24(6):481–488.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Nagaratnam, N., Nagaratnam, K., Cheuk, G. (2018). Myelodysplastic Syndromes. In: Geriatric Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-33434-9_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33434-9_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33433-2

  • Online ISBN: 978-3-319-33434-9

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics