NCIt synonyms : Alkylating Agent Related Myelodysplastic Syndrome;
NCIt related terms : Therapy-related myelodysplastic syndrome, alkylating agent related;
NCIt definition : A disorder seen following cancer chemotherapy. It is the most common cause of therapy-related
myelodysplastic syndromes. It typically manifests several years after initiation of
single or multi-agent chemotherapy with alkylators. Mutagenic potential of alkylating
agents is believed to be age and cumulative dose-dependent. Deletions in chromosomes
5 and 7 are associated with susceptibility to this disorder. Clinical signs may include
fatigue, dyspnea, bruising and frequent infections. Clinical course may progress to
bone marrow failure or acute myeloid leukemia that is refractory to treatment. Prognosis
is dismal with survivability usually less than one year.;