IPSS

freja.ebeling - 19.09.2010 - 23:02
 
  0 0,5 1 1,5 2
Luuytimen blastimäärä (%) <5 5-10 - 11-20 21-30**
Karyotyyppi

Pieni riski

normaali

-Y ainoana

5q- ainoana

20q- ainoana

 

Keskikorkea riski

muut poikkeavuudet

Suuri riski

≥ 3 poikkeavuutta

kromosomin 7 mikä tahansa poikkeavuus

 

   
Sytopeniat* ei yhtään tai 1 2 tai 3      

*Hb<100 g/L; B-Neutr<1,5x109/L; tromb<100x109/L

**Nykyisen WHO-luokituksen mukaan ei enää MDS, vaan akuutti leukemia

 

Keskimääräinen elinaika diagnoosista ja aika transformaatioon AML:ksi (vuosia)

 
IPSS-pisteet Riskiluokka Potilaita (%)

Ikä ≤ 70v

Elinaika

Ikä > 70v

Elinaika

Aika, jossa 25%:lle

AML-evoluutio (v)

0 matala 31 9,0 3,9 9,4
0,5-1 keskikorkea-1 39 4,4 2,4 3,3
1,5-2 keskikorkea-2 22 1,3 1,2 1,1
≥ 2,5 korkea 8 0,4 0,4 0,2

 

WPSS-ennusteluokitus

Variable 0 1 2 3

WHO category RA, RARS, 5q– RCMD, RCMD-RS RAEB-1 RAEB-2
Karyotype* Good Intermediate Poor
Transfusion requirement No Regular

 

NOTE. Risk groups were as follows: very low (score = 0), low (score = 1), intermediate (score = 2), high (score = 3 to 4), and very high (score = 5 to 6).

Abbreviations: MDS, myelodysplastic syndrome; RA, refractory anemia; RARS, refractory anemia with ringed sideroblasts; 5q–, myelodysplastic syndrome with isolated del(5q) and marrow blasts less than 5%; RCMD, refractory cytopenia with multilineage dysplasia; RCMD-RS, refractory cytopenia with multilineage dysplasia and ringed sideroblasts; RAEB-1, refractory anemia with excess of blasts-1; RAEB-2, refractory anemia with excess of blasts-2.

* Karyotype was as follows: good: normal, –Y, del(5q), del(20q); poor: complex (≥ three abnormalities), chromosome 7 anomalies; and intermediate: other abnormalities.

† RBC transfusion dependency was defined as having at least one RBC transfusion every 8 weeks over a period of 4 months.

Viimeksi muokannut: 
Lauri Mäkinen - 24.05.2015 - 17:35