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. 2022 May 1;14(1):e2022030. doi: 10.4084/MJHID.2022.030

Table 1.

Alkylisting agent class Topoisomerase II inhibitor class
Cytogenetics det(5q)–7/del(7q) t(11q23.3), t(21q22.1)
Frequency 70% of t-MN patients 30% of t-MN patients
Latency 5–7 years 2–3 years
Presentation MDS AML
Implicated drugs
  • Atkylating agents: benclamustine, busulfan, carmustine, chlorambucil, cyclophosphamide, dacarbazine, lornustine, melphalan, mitomycin C, nitrogen mustard, procarbazine, thiotepa

  • Platinum-based agents: cisplatin, carboplatin

  • Antimetabolite agents: azathioprine, fludarabine

  • Anthracyclins: dauronobicini, epirubicin, doxorubicin

  • Other topoisomerase II inhibitors: etoposide, ten iposide, amsacrine, mitoxantfone

*

Loss of the short arm of chrornosome 17 containing the TP5 3 gene due to del(17p) unbalanced rearrangement or —17 k ‘observed in asseciation with del(5q) in 40% of cases. AML. acute myeloid leukaemia: MDS, myeloid neoplasm. myelodysplastic syndrome: t-MNI. therapy-related.

By McNerney et Al.23 Nat Rev Cancer. 2017.