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MDS Myelodysplastic syndromes

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  #1  
Old Sat Mar 10, 2012, 08:23 PM
annmonster annmonster is offline
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How is IPSS score determined ??

I don't know my IPSS score yet, although I have been told that I am "low risk" MDS.

What are the factors that determine this scoring system ?? I know that one of them is the blast percentage ....

Thanks for any help .....

Ann
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  #2  
Old Sat Mar 10, 2012, 09:50 PM
Greg H Greg H is offline
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Hey Ann!

There's a good description on this page:

http://www.marrowforums.org/mds.html

And a handy tool to help you calculate your own here:

http://www.marrowforums.org/tools/mds_classification.html


The IPSS has four categories: Low Risk, Intermediate -1, Intermediate-2, and High Risk. The first two are considered "lower risk;" the others "higher risk."

Take Care!

Greg
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Greg, 59, dx MDS RCMD Int-1 03/10, 8+ & Dup1(q21q31). NIH Campath 11/2010. Non-responder. Tiny telomeres. TERT mutation. Danazol at NIH 12/11. TX independent 7/12. Pancreatitis 4/15. 15% blasts 4/16. DX RAEB-2. Beginning Vidaza to prep for MUD STC. Check out my blog at www.greghankins.com
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  #3  
Old Sun Mar 11, 2012, 12:16 AM
annmonster annmonster is offline
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Thanks, Greg !!!

As always, you are super-helpful .... and a great resource for information !!!!

Ann
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  #4  
Old Sun Mar 11, 2012, 01:44 AM
Chirley Chirley is offline
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I used the calculation tool and came up with an IPPS of 1.5 as Intermediate 2 but then I don't have MDS!! I have Cu deficiency.

BMB shows dysplasia in reds and whites, blood has 2 sometimes 3 cytopenias and ringed sideroblasts of 78%, blasts of 7% with one other chromosomal abnormality (del 15 q). add them together you get the 1.5


It makes you realize why it's so hard for doctors to diagnose hematological disorders.

Regards
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Copper deficiency bone marrow failure (MDS RAEB 1), neuromyelopathy.
FISH reported normal cytogenetics but gene testing showed
Xq 8.21 mutation
Xq19.36 mutation
Xq21.40. mutation
1p36. Mutation
15q11.2 deletion
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  #5  
Old Sun Mar 11, 2012, 05:00 PM
Greg H Greg H is offline
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Hey Ann!

If you have any trouble figuring out your number, guide a shout and I'll try to help.

There are a couple of newly-published revisions to the standard IPSS, plus a couple of other scoring systems, including a very promising one from MD Anderson that has been validated in a separate population at the Cleveland Clinic.

If you are interested in those, let me know and I'll point you towards them.

Take Care!

Greg
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Greg, 59, dx MDS RCMD Int-1 03/10, 8+ & Dup1(q21q31). NIH Campath 11/2010. Non-responder. Tiny telomeres. TERT mutation. Danazol at NIH 12/11. TX independent 7/12. Pancreatitis 4/15. 15% blasts 4/16. DX RAEB-2. Beginning Vidaza to prep for MUD STC. Check out my blog at www.greghankins.com
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