Table 1A. Bone marrow minimal histological criteria for refractory cytopenia of childhood.4,5 Refractory cytopenia of childhood is defined as persistent cytopenia with <5% blasts in bone marrow and <2% blasts in peripheral blood. The criteria of dysplasia must be fulfilled in ≥2 cell lineages or ≥10% of cells within one cell lineage on bone marrow aspirate smears.
Cellularity | Erythropoiesis | Granulopoiesis | Megakaryopoiesis |
---|---|---|---|
Variable | A few clusters of ≥20 erythroid precursors. Arrest in maturation, with increased number of proerythroblasts. Increased number of mitoses. |
No minimal diagnostic criteria | Unequivocal
micromegakaryocytes; immunohistochemistry is obligatory (CD61, CD41, CD42b); other dysplastic changes in variable numbers |