The relevance between chromosome karyotypes and prognosis in subtypes of myelodysplastic syndromes / 肿瘤研究与临床

ABSTRACT

Objective To investigate the characteristics of chromosome kayotypes and the relationship between the prognosis and chromosome karyotypes in subtypes of myelodysplastic syndromes (MDS).Methods The study retrospectively analyzed the characteristics of chromosome karyotype of initially diagnosed 151 MDS patients and investigated the rate and time of leukemia transformation and mortality,IPSS score,and compare the ethnic differences of Han and Uyghurs.Results Abnormal karyotype detection rate was 55.0 ％ (83/151),including simple abnormalities was 53.0 ％ (44/83),complex abnormalities was 47.0％ (39/83).h showed that common abnormal karyotype include-5/5q-,-7/7q-,+8,-20/20q-,-X/-Y,i(17q),9p-/9q-,+21.IPSS score had differences among subtypes (x2 =117.802,P ＜ 0.01).The detection rates of abnormal chromosome had significantly differences between each group,the abnormal karyotype detection rate in high-risk group was significantly higher than those in low risk group and moderate group(P ＜ 0.05).Followup 31 months (5-68 months) and found that the rates of leukemia transformation and mortality were 25.2 ％ (38/151) and 43.7 ％ (66/151),the rates of leukemia transformation and mortality in abnormal karyotype group were significantly higher than those in normal karyotype group (P ＜ 0.05).The median survival time in abnormal karyotype was shorter than that in normal one.The distribution of Han and Uyghur patients with MDS subtypes,the characteristics of abnormal karyotype,the rates of leukemia transformation and the rates of mortality had no statistical difference (all P ＞ 0.05).Conclusion Abnormal chromosome karyotype is important index for disease progression and prognosis of MDS patients.