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#1
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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 |
#2
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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 |
#3
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Thanks, Greg !!!
As always, you are super-helpful .... and a great resource for information !!!! Ann |
#4
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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 |
#5
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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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