Table 3.

Flow cytometry features used in the diagnosis of putative MDS

FeaturesUse in diagnosis
Blast percentage and immunophenotype in bone marrow Documents blast immunophenotype (myeloid); report should specify how blasts are quantified 
Aberrant blast immunophenotypes Support a diagnosis of MDS already suspected based on other features 
Aberrant immunophenotypes of granulocytes, monocytes, and erythroids Support a diagnosis of MDS already suspected based on other features 
Clonality of B cells Evaluates for a B-cell lymphoma involving the bone marrow if lymphoma is suggested by morphology 
T-cell immunophenotype Evaluates for large granular lymphocytic leukemia or other T-cell lymphomas involving the bone marrow 
Paroxysmal nocturnal hemoglobinuria assessment (blood) Useful in hypocellular cases when aplastic anemia or paroxysmal nocturnal hemoglobinuria are considered as alternate diagnoses 
FeaturesUse in diagnosis
Blast percentage and immunophenotype in bone marrow Documents blast immunophenotype (myeloid); report should specify how blasts are quantified 
Aberrant blast immunophenotypes Support a diagnosis of MDS already suspected based on other features 
Aberrant immunophenotypes of granulocytes, monocytes, and erythroids Support a diagnosis of MDS already suspected based on other features 
Clonality of B cells Evaluates for a B-cell lymphoma involving the bone marrow if lymphoma is suggested by morphology 
T-cell immunophenotype Evaluates for large granular lymphocytic leukemia or other T-cell lymphomas involving the bone marrow 
Paroxysmal nocturnal hemoglobinuria assessment (blood) Useful in hypocellular cases when aplastic anemia or paroxysmal nocturnal hemoglobinuria are considered as alternate diagnoses 
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