To genetically and clinically characterize patients with (suspected) myeloid neoplasms (MN) with sole loss of chromosome Y (LOY) to assess the relevance of LOY in routine hematologic diagnostics, particularly in distinguishing between incidental and disease-associated alterations.
Key Findings:
LOY clone size correlates with disease state, increasing from no MN to diagnosed MN, indicating its potential role in disease progression.
Higher LOY clone sizes are associated with a greater number of mutations, suggesting a link between LOY and genetic instability.
TET2 is the most frequently mutated gene across all groups, with varying frequencies, highlighting its significance in myeloid neoplasms.
Interpretation:
Isolated LOY is likely associated with myeloid neoplasms and may represent an early event in their pathogenesis, complicating the distinction between incidental age-related changes and disease-associated alterations, as evidenced by the correlation with mutation patterns.
Limitations:
Study limited to male patients, which may affect generalizability to female populations.
Potential biases in cytomorphological assessments could influence diagnostic accuracy.
Conclusion:
The findings support the clinical relevance of LOY in diagnosing myeloid neoplasms, suggesting it should be considered in routine diagnostics to improve patient outcomes.
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