Table:
Myelodysplastic syndrome | Idiopathic cytopenia of unknown significance | Clonal haematopoiesis of indeterminate potential | Clonal cytopenia of unknown significance | |
---|---|---|---|---|
Cytopenias | + | + | − | + |
Dysplasia | + | − | − | − |
Clonality | + | − | + | + |
Risk of transformation to AML | ++ | ↓↓↓ | ↓(↓) | ↓↑ |
Monitoring | Per consensus guidelines by disease stage | No need to reassess next-generation sequencing; monitoring 2–4 times per year CBC | Observation; routine CBC for health maintenance | Observation; monitoring 2–4 times per year; supportive care |
The proposed guidelines are based on currently available data for surveillance of these conditions; certainly all monitoring plans should be guided by a patient’s clinical scenario including age, expectation, specific mutations, and comorbid conditions. CBC=cell blood count. + sign=present. − sign= absent. Arrows indicate increase or decrease.