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Myelodysplastic Syndromes — Treatment by Risk
Myelodysplastic
syndromes (MDS)
Lower-risk (IPSS-R low/int)
Higher-risk (IPSS-R high/very-high)
Anemia, low EPO
Erythropoiesis-stimulating agent
symptomatic anemia ↗
Ring sideroblasts
Luspatercept
COMMANDS ↗
del(5q)
Lenalidomide
del(5q) ↗
Disease-modifying
Hypomethylating agent
AZA-001 ↗
Curative
Allogeneic transplant
only curative option