Table 2

MDS cytogenetic scoring system: prognostic relevance of cytogenetic abnormalities in 7012 patients included in the International Working Group for Prognosis in MDS (IWG-PM) database

Prognostic cytogenetic subgroupCytogenetic abnormalitiesProportion of MDS patients, %Median overall survival, yearsMedian time to 25% AML evolution, years
Very good −Y, del(11q) 5.4 Not reached 
Good Normal karyotype, del(5q), del(12p), del(20q), double abnormality including del(5q) 72 4.8 9.4 
Intermediate del(7q), +8, +19, i(17q), any other single or double independent clones 13 2.7 2.5 
High −7, inv(3)/t(3q)/del(3q), double including −7/del(7q), complex: 3 abnormalities 1.5 1.7 
Very high Complex karyotype: >3 abnormalities 0.7 0.7 
Prognostic cytogenetic subgroupCytogenetic abnormalitiesProportion of MDS patients, %Median overall survival, yearsMedian time to 25% AML evolution, years
Very good −Y, del(11q) 5.4 Not reached 
Good Normal karyotype, del(5q), del(12p), del(20q), double abnormality including del(5q) 72 4.8 9.4 
Intermediate del(7q), +8, +19, i(17q), any other single or double independent clones 13 2.7 2.5 
High −7, inv(3)/t(3q)/del(3q), double including −7/del(7q), complex: 3 abnormalities 1.5 1.7 
Very high Complex karyotype: >3 abnormalities 0.7 0.7 

Reproduced from Greenberg et al.26 

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