Data on 31 patients with congenital neutropenia who developed malignant myeloid transformation while receiving G-CSF therapy
| Patient no. . | Age, y . | Sex . | Diagnosis . | Duration of G-CSF to MDS/AML, mo . | G-CSF dose,3-150 μg/kg/d . | Prior marrow cytogenetic evaluation . | Cytogenetic abnormality . |
|---|---|---|---|---|---|---|---|
| 1 | 8 | M | MDS | 52 | 20 | unknown | trisomy 21 |
| monosomy 7 | |||||||
| 2 | 48 | M | MDS/AML | 57.4 | 2.4 | normal | monosomy 7 |
| del(6)(q21) | |||||||
| 3 | 12 | M | MDS/AML | 58 | 20 | normal | trisomy 21 |
| monosomy 7 | |||||||
| 4 | 8 | F | AML | 73 | 18 | normal/on-study | 48, xx +marker × 2 |
| 5 | 4 | F | AML | 53 | 6.3 | normal | monosomy 7 |
| 6 | 12 | M | AML | 9 | — | normal | trisomy (3)(22) |
| der (5) | |||||||
| t(1;5)(q21;q21) | |||||||
| 7 | 20 | F | AML, SDS | 1 | 6 | not done | del(3)(7)(21) |
| 8 | 10 | F | MDS/CMML | 39 | 40 | not done | monosomy 7 |
| del(q20) | |||||||
| 9 | 13 | M | AML | 85.8 | 6 | normal | 46,xy,der(9) |
| t(6;9)(q15;q34) | |||||||
| 37,xy,add(3)(q26) | |||||||
| 10 | 12 | M | AML | 101 | 20 | normal | normal |
| 11 | 7 | F | MDS/AML | 68 | 24.6 | normal | del(2)(q31;q36) |
| del(2)(q32;2) | |||||||
| del(7)(q32) | |||||||
| del(5)(q31;q34) | |||||||
| del(7)(q22;q32) | |||||||
| 12 | 15 | M | MDS | 75 | 6 | normal | monosomy 7 |
| del(6)(q21;q26) | |||||||
| 13 | 4 | F | AML | 44.2 | 13.5 | normal/on-study | inv 16(p13;q22) |
| t(5;6)(q31;q27) | |||||||
| 14 | 17 | M | AML | 84 | 6 | normal | normal |
| 15 | 8 | F | AML | 79 | 38 | normal | normal |
| 16 | 20 | F | AML | 98.8 | 12 | normal | i(17)(q10) 3/20 |
| (8.23 y) | idem, +8 10/20 | ||||||
| 17 | 40 | M | MDS/AML | 73 | 8.6 | normal/on-study | monosomy 7 |
| 18 | 13 | M | AML | 101.1 | 12 | normal | add (11)(q24) |
| (8.4 y) | i(21)(q10) 13/20 | ||||||
| add (11)(q24) | |||||||
| +21, +mar 6/20 | |||||||
| 19 | 19 | F | MDS | 99.1 | 6 | normal | (t3,21) |
| (8.3 y) | |||||||
| 20 | 4 | M | AML | 32.8 | 35 | not done | monosomy 7 |
| trisomy 11 | |||||||
| 21 | 12 | M | MDS | 22.7 | 8.7 | not done; baseline FISH negative for monosomy 7 | monosomy 7 trisomy 21 |
| 22 | 15 | M | MDS | 76 | 12 | normal | trisomy 21, +x |
| 23 | 5 | M | MDS/AML | 29 | 30 | normal/on-study | monosomy 7 |
| 24 | 8 | F | AML | 78.9 | 20 | normal/on-study | t(p1;q3) |
| elongation of 5q | |||||||
| 25 | 23 | M | MDS/AML | 35 | 1 | not done | monosomy 7 |
| trisomy 21 | |||||||
| 26 | 18 | M | AML | 2 | 3.5 | not done | t(9;11) |
| 27 | 13 | M | MDS/AML | 59.8 | 16 | not done | monosomy 7 |
| trisomy 21 | |||||||
| 28 | 10 | F | MDS | 72 | — | not done | monosomy 7 |
| 29 | 2 | F | AML | 20 | 13 | normal | del (7)(q22q36)[22] |
| del (6)(p22p25) | |||||||
| del (7)(22q36)[3] | |||||||
| 30 | 5 | M | MDS, SDS | 22 | 7 | normal | monosomy 7 |
| 31 | 16 | F | AML | 102 | 2.6 | normal/on-study | monosomy 7 |
| tetraploidy |
| Patient no. . | Age, y . | Sex . | Diagnosis . | Duration of G-CSF to MDS/AML, mo . | G-CSF dose,3-150 μg/kg/d . | Prior marrow cytogenetic evaluation . | Cytogenetic abnormality . |
|---|---|---|---|---|---|---|---|
| 1 | 8 | M | MDS | 52 | 20 | unknown | trisomy 21 |
| monosomy 7 | |||||||
| 2 | 48 | M | MDS/AML | 57.4 | 2.4 | normal | monosomy 7 |
| del(6)(q21) | |||||||
| 3 | 12 | M | MDS/AML | 58 | 20 | normal | trisomy 21 |
| monosomy 7 | |||||||
| 4 | 8 | F | AML | 73 | 18 | normal/on-study | 48, xx +marker × 2 |
| 5 | 4 | F | AML | 53 | 6.3 | normal | monosomy 7 |
| 6 | 12 | M | AML | 9 | — | normal | trisomy (3)(22) |
| der (5) | |||||||
| t(1;5)(q21;q21) | |||||||
| 7 | 20 | F | AML, SDS | 1 | 6 | not done | del(3)(7)(21) |
| 8 | 10 | F | MDS/CMML | 39 | 40 | not done | monosomy 7 |
| del(q20) | |||||||
| 9 | 13 | M | AML | 85.8 | 6 | normal | 46,xy,der(9) |
| t(6;9)(q15;q34) | |||||||
| 37,xy,add(3)(q26) | |||||||
| 10 | 12 | M | AML | 101 | 20 | normal | normal |
| 11 | 7 | F | MDS/AML | 68 | 24.6 | normal | del(2)(q31;q36) |
| del(2)(q32;2) | |||||||
| del(7)(q32) | |||||||
| del(5)(q31;q34) | |||||||
| del(7)(q22;q32) | |||||||
| 12 | 15 | M | MDS | 75 | 6 | normal | monosomy 7 |
| del(6)(q21;q26) | |||||||
| 13 | 4 | F | AML | 44.2 | 13.5 | normal/on-study | inv 16(p13;q22) |
| t(5;6)(q31;q27) | |||||||
| 14 | 17 | M | AML | 84 | 6 | normal | normal |
| 15 | 8 | F | AML | 79 | 38 | normal | normal |
| 16 | 20 | F | AML | 98.8 | 12 | normal | i(17)(q10) 3/20 |
| (8.23 y) | idem, +8 10/20 | ||||||
| 17 | 40 | M | MDS/AML | 73 | 8.6 | normal/on-study | monosomy 7 |
| 18 | 13 | M | AML | 101.1 | 12 | normal | add (11)(q24) |
| (8.4 y) | i(21)(q10) 13/20 | ||||||
| add (11)(q24) | |||||||
| +21, +mar 6/20 | |||||||
| 19 | 19 | F | MDS | 99.1 | 6 | normal | (t3,21) |
| (8.3 y) | |||||||
| 20 | 4 | M | AML | 32.8 | 35 | not done | monosomy 7 |
| trisomy 11 | |||||||
| 21 | 12 | M | MDS | 22.7 | 8.7 | not done; baseline FISH negative for monosomy 7 | monosomy 7 trisomy 21 |
| 22 | 15 | M | MDS | 76 | 12 | normal | trisomy 21, +x |
| 23 | 5 | M | MDS/AML | 29 | 30 | normal/on-study | monosomy 7 |
| 24 | 8 | F | AML | 78.9 | 20 | normal/on-study | t(p1;q3) |
| elongation of 5q | |||||||
| 25 | 23 | M | MDS/AML | 35 | 1 | not done | monosomy 7 |
| trisomy 21 | |||||||
| 26 | 18 | M | AML | 2 | 3.5 | not done | t(9;11) |
| 27 | 13 | M | MDS/AML | 59.8 | 16 | not done | monosomy 7 |
| trisomy 21 | |||||||
| 28 | 10 | F | MDS | 72 | — | not done | monosomy 7 |
| 29 | 2 | F | AML | 20 | 13 | normal | del (7)(q22q36)[22] |
| del (6)(p22p25) | |||||||
| del (7)(22q36)[3] | |||||||
| 30 | 5 | M | MDS, SDS | 22 | 7 | normal | monosomy 7 |
| 31 | 16 | F | AML | 102 | 2.6 | normal/on-study | monosomy 7 |
| tetraploidy |
Includes all patients who developed MDS/AML regardless of when the event occurred in relation to G-CSF treatment. The predominant dose of G-CSF is shown.