PMID- 12411062 OWN - NLM STAT- MEDLINE DCOM- 20021217 LR - 20131121 IS - 0253-2727 (Print) IS - 0253-2727 (Linking) VI - 23 IP - 6 DP - 2002 Jun TI - A preliminary study on the early diagnosis of myelodysplastic syndromes. PG - 307-10 AB - OBJECTIVE: To evaluate the four techniques for clonal analysis in the early diagnosis of myelodysplastic syndromes (MDS). METHODS: Four techniques for clonal analysis were performed in bone marrow samples from fifty patients with suspected MDS: (1) Conventional cytogenetics (CC) for clonal chromosomal abnormalities; (2) BrdU-sister chromatid differentiation (BrdU-SCD) for cell cycle analysis; (3) Fluorescence in situ hybridization (FISH) for trisomy 8; (4) PCR-SSCP for N-ras mutation. RESULTS: The diagnosis of forty-five patients was compatible with FAB criteria of MDS, the other five patients didn't fully meet the FAB criteria. They had either only one lineage dyspoiesis or no any obvious dysplastic features and two of them were diagnosed as suspicious refractory anemia (RA), one as anemia with hypercellular bone marrow and two as chronic aplastic anemia. The results of the four techniques performed in them showed that four patients had clonal karyotype abnormalities, two had prolonged cell cycle, three had trisomy 8 of different proportions, and one had N-ras mutation. Thus, they were all diagnosed as RA. CONCLUSION: The untypical MDS patients can be diagnosed early by examination with combining several clonal analysis techniques. FAU - Qian, Jun AU - Qian J AD - First Affiliated Hospital, Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. FAU - Xue, Yongquan AU - Xue Y FAU - Yu, Fei AU - Yu F FAU - Wu, Yafang AU - Wu Y FAU - Pan, Jinlan AU - Pan J FAU - Lu, Dingwei AU - Lu D LA - eng PT - Journal Article PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - G34N38R2N1 (Bromodeoxyuridine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Bromodeoxyuridine MH - Child MH - Child, Preschool MH - Chromatids MH - Chromosome Aberrations MH - Cytogenetic Analysis/methods MH - Female MH - Genes, ras MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Male MH - Middle Aged MH - Mutation MH - Myelodysplastic Syndromes/*diagnosis/genetics EDAT- 2002/11/02 04:00 MHDA- 2002/12/18 04:00 CRDT- 2002/11/02 04:00 PHST- 2002/11/02 04:00 [pubmed] PHST- 2002/12/18 04:00 [medline] PHST- 2002/11/02 04:00 [entrez] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2002 Jun;23(6):307-10.