PMID- 20041967 OWN - NLM STAT- MEDLINE DCOM- 20110114 LR - 20211020 IS - 1751-553X (Electronic) IS - 1751-5521 (Print) IS - 1751-5521 (Linking) VI - 32 IP - 4 DP - 2010 Aug 1 TI - Myelodysplastic syndrome in elderly patients: correlation of CBC with cytogenetic and FISH analysis. PG - 443-8 LID - 10.1111/j.1751-553X.2009.01210.x [doi] AB - Unexplained anemia in the elderly could represent myelodysplastic syndrome (MDS). We assessed the utility of using a fluorescence in situ hybridization (FISH) panel for common chromosomal abnormalities seen in MDS. A total of 101 elderly outpatients with anemia of unknown etiology were evaluated. Complete blood count, bone marrow biopsy, conventional cytogenetic analysis (CC), and FISH panel were reviewed. A total of 21 (21%) of the 101 patients had MDS. A combination of CC and FISH identified chromosomal abnormalities in 17 (81%) of the patients with MDS. The remaining 4 (19%) were diagnosed with MDS based solely on morphologic criteria. Except in two cases, FISH did not reveal abnormalities not already detected by CC. Furthermore, MDS patients infrequently had isolated anemia (14%) as opposed to those without MDS (75%). A MDS FISH panel is not more sensitive than CC in elderly outpatients with unexplained anemia. MDS is more likely if in addition to anemia, leukopenia and/or thrombocytopenia are also present. FAU - Codispoti, K-E T AU - Codispoti KE AD - Department of Pathology, The George Washington University Medical Center, NW, Washington, DC, USA. kcodisp1@jhmi.edu FAU - Depalma, L AU - Depalma L LA - eng GR - T32 EB006351/EB/NIBIB NIH HHS/United States GR - T32 EB006351-04/EB/NIBIB NIH HHS/United States PT - Journal Article DEP - 20091223 PL - England TA - Int J Lab Hematol JT - International journal of laboratory hematology JID - 101300213 SB - IM MH - Aged MH - Aged, 80 and over MH - Anemia/diagnosis/genetics MH - Blood Cell Count MH - *Chromosome Aberrations MH - *Cytogenetic Analysis MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Male MH - Myelodysplastic Syndromes/*blood/diagnosis/*genetics PMC - PMC2897924 MID - NIHMS169134 EDAT- 2010/01/01 06:00 MHDA- 2011/01/15 06:00 PMCR- 2010/08/01 CRDT- 2010/01/01 06:00 PHST- 2010/01/01 06:00 [entrez] PHST- 2010/01/01 06:00 [pubmed] PHST- 2011/01/15 06:00 [medline] PHST- 2010/08/01 00:00 [pmc-release] AID - CLH1210 [pii] AID - 10.1111/j.1751-553X.2009.01210.x [doi] PST - ppublish SO - Int J Lab Hematol. 2010 Aug 1;32(4):443-8. doi: 10.1111/j.1751-553X.2009.01210.x. Epub 2009 Dec 23.