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. 2025 Jan 12;17(2):227. doi: 10.3390/cancers17020227
Criteria WHO 5th Edition [7] ICC [6]
Leukocytosis Present, must be ≥25 × 109/L, regardless of mutations ≥13 × 109/L for CSF3R- mutated cases, ≥25 × 109/L in non-CSF3R mutated cases
Marrow cellularity Hypercellular, neutrophils + banded neutrophils constitute ≥80% of the white blood cells
Neutrophil precursors <10% of the WBCs
Neutrophilia Persistent for 3 months or more, splenomegaly with no identification of reactive causes in mutation negative cases
Dysplasia Not present
Monocytes <10% of peripheral blood monocytes
Rule out Chronic Myeloid Leukemia (CML), polycythaemia vera, essential thrombocythaemia, or primary myelofibrosis, myeloid/lymphoid neoplasms with eosinophilia and tyrosine kinase gene fusions and exclusion of reactive neutrophilia.