Skip to main content
. Author manuscript; available in PMC: 2020 Feb 10.
Published in final edited form as: Lancet Haematol. 2019 Dec 3;7(1):e73–e81. doi: 10.1016/S2352-3026(19)30211-X

Table:

Characteristic features of precursor states and proposed monitoring guideline

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.