Myeloproliferative neoplasms (MPN)
Myeloproliferative neoplasms (MPN)
Updated: 10/11/2022
© Jun Wang, MD, PhD
General features
- Clonal myeloproliferation WITHOUT dysplasia
 - More common in adults, middle age and older
 - Progress to AML commonly from CML, but not other types of MPN
 - Hepatosplenomegaly and lymphadenopathy due to extramedullary hematopoiesis
 
Key Laboratory findings
- Initially hypercellular marrow with increased circulating blood cells
 - End in spent phase with marrow fibrosis and cytopenia
 - < 20% blasts
 
Key morphological features
- Usually involving multiple lineages
 - Usually no dysplastic changes
 
Genetic abnormalities
- Usually involving tyrosine kinase
 
Current classification
- Chronic myelogenous leukemia, BCR-ABL1–positive
 - Chronic neutrophilic leukemia
 - Polycythemia vera
 - Primary myelofibrosis
 - Essential thrombocythemia
 - Chronic eosinophilic leukemia, not otherwise specified
 - Mastocytosis
 - Myeloproliferative neoplasms, unclassifiable
 
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