Table 1.
2008 WHO Classification | 2016 WHO Classification | |
---|---|---|
Major Criteria | 1. Hb > 18.5 g/dL in men/Hb > 16.5 g/dL in women or other evidence of increased RCM; 2. Presence of JAK2V617F or other functionally similar mutation such as JAK2 exon 12 mutation |
1. Hb > 16.5 g/dL in men/Hb > 16.0 g/dL in women, or Hct > 49% in men/Hct > 48% in women, or increased RCM; 2. BM biopsy showing hypercellularity for age with trilineage growth (panmyelosis) including prominent erythroid, granulocytic, and megakaryocytic proliferation with pleomorphic, mature, megakaryocytes (differences in size); 3. Presence of JAK2V617F or JAK2 exon 12 mutation |
Minor Criteria | 1. BM biopsy showing hypercellularity for age with trilineage growth (panmyelosis) with prominent erythroid, granulocytic, and megakaryocytic proliferation; 2. Subnormal serum EPO level; 3. Endogenous erythroid colony formation in vitro |
Subnormal serum EPO level |
Criteria required for diagnosis | All 2 major and 1 minor or the first major and 2 minor criteria | All 3 major or the first 2 major and the minor criterion |
Abbreviations: Hb: hemoglobin; Hct, hematocrit; RCM, red cell mass; BM, bone marrow; EPO, erythropoietin.