Table 2.

International Prognostic Scoring System (IPSS) for myelodysplastic syndrome (MDS).*

Prognostic VariableSurvival and AML Evolution Score Value
Prognostic Variable00.51.01.52.0
Marrow blasts (%) < 5 5-10 — 11-20 21-30 
Karyotype† Good Intermediate Poor   
Cytopenias‡ 0-1 2-3    
Prognostic VariableSurvival and AML Evolution Score Value
Prognostic Variable00.51.01.52.0
Marrow blasts (%) < 5 5-10 — 11-20 21-30 
Karyotype† Good Intermediate Poor   
Cytopenias‡ 0-1 2-3    
Risk CategoryCombined Score
Abbreviations: AML, acute myeloid leukemia. 
* Modified from Greenberg P, Cox C, Le Beau MM, et al. International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood. 1997;89:2079-2088. 
† Good = normal, Y, del(5q), del(20q); Poor = complex (≥ 3 abnormalities) or chromosome 7 anomalies; Intermediate = other abnormalities. 
‡ Neutrophils < 1800/μL, hemoglobin < 10 g/dL, platelets < 100,000/μL. 
Low 
Int-1 0.5-1.0 
Int-2 1.5-2.0 
High > 2.5 
Risk CategoryCombined Score
Abbreviations: AML, acute myeloid leukemia. 
* Modified from Greenberg P, Cox C, Le Beau MM, et al. International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood. 1997;89:2079-2088. 
† Good = normal, Y, del(5q), del(20q); Poor = complex (≥ 3 abnormalities) or chromosome 7 anomalies; Intermediate = other abnormalities. 
‡ Neutrophils < 1800/μL, hemoglobin < 10 g/dL, platelets < 100,000/μL. 
Low 
Int-1 0.5-1.0 
Int-2 1.5-2.0 
High > 2.5 
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