Table 3.

Clinical characteristics of short telomere syndrome–mediated MDS/AML

Characteristic(n = 18)
Median age at diagnosis, y 53 (12-71) 
Male sex, no. (%) 12 (67) 
Mutant gene  
 TERT 
 RTEL1 
 DKC1 
 TR 
 NAF1 
 Unknown 
Myeloid neoplasm, no. (%)  
 MDS 14 (78) 
 AML arising from MDS 3 (17) 
 Treatment-related AML 1 (6) 
Bone marrow cellularity for MDS,* n = 14,no. (%)  
 Hypocellular 7 (50) 
 Patchy (both hyper/hypocellular) 0 (0) 
 Normocellular 3 (21) 
 Hypercellular 4 (29) 
Bone marrow cellularity for AML, n = 4, no. (%)  
 Hypocellular 1 (25) 
 Patchy (both hyper/hypocellular) 2 (50) 
 Normocellular 1 (25) 
 Hypercellular 0 (0) 
Cytogenetics, MDS/AML, no. (%)  
 Monosomy 7 alone 3 (17) 
 Monosomy 7 with another abnormality 7 (39) 
 Other abnormality 7 (38.5) 
 Unknown 1 (5.5) 
Characteristic(n = 18)
Median age at diagnosis, y 53 (12-71) 
Male sex, no. (%) 12 (67) 
Mutant gene  
 TERT 
 RTEL1 
 DKC1 
 TR 
 NAF1 
 Unknown 
Myeloid neoplasm, no. (%)  
 MDS 14 (78) 
 AML arising from MDS 3 (17) 
 Treatment-related AML 1 (6) 
Bone marrow cellularity for MDS,* n = 14,no. (%)  
 Hypocellular 7 (50) 
 Patchy (both hyper/hypocellular) 0 (0) 
 Normocellular 3 (21) 
 Hypercellular 4 (29) 
Bone marrow cellularity for AML, n = 4, no. (%)  
 Hypocellular 1 (25) 
 Patchy (both hyper/hypocellular) 2 (50) 
 Normocellular 1 (25) 
 Hypercellular 0 (0) 
Cytogenetics, MDS/AML, no. (%)  
 Monosomy 7 alone 3 (17) 
 Monosomy 7 with another abnormality 7 (39) 
 Other abnormality 7 (38.5) 
 Unknown 1 (5.5) 
*

All of the normocelluar and hypercellular MDS patients (7 of 7) had ring sideroblasts in >15% of cells examined.

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