Harrison's Manual of Medicine 17/e

Table 70-1: Acute Myeloid Leukemia (AML) Classification Systems

Table 70-1

World Health Organization Classificationa


I. AML with recurrent genetic abnormalities
  • AML with t(8;21)(q22;q22);RUNX1/RUNX1T1b
  • AML with abnormal bone marrow eosinophils [inv(16)(p13q22) or t(16;16)(p13;q22);CBFβ/MYH11]b
  • Acute promyelocytic leukemia [AML with t(15;17)(q22;q12) (PML/RARα) and variants]b
  • AML with 11q23 (MLL) abnormalities
II. AML with multilineage dysplasia
  • Following a myelodysplastic syndrome or myelodysplastic syndrome/ myeloproliferative disorder
  • Without antecedent myelodysplastic syndrome

III. AML and myelodysplastic syndromes, therapy-related

  • Alkylating agent-related
  • Topoisomerase type II inhibitor-related
  • Other types

IV. AML not otherwise categorized

  • AML minimally differentiated
  • AML without maturation
  • AML with maturation
  • Acute myelomonocytic leukemia
  • Acute monoblastic and monocytic leukemia
  • Acute erythroid leukemia
  • Acute megakaryoblastic leukemia
  • Acute basophilic leukemia
  • Acute panmyelosis with myelofibrosis
  • Myeloid sarcoma

French-American-British (FAB) Classificationc

Incidence

M0: Minimally differentiated leukemia

5%

M1: Myeloblastic leukemia without maturation

20%

M2: Myeloblastic leukemia with maturation

30%

M3: Hypergranular promyelocytic leukemia

10%

M4: Myelomonocytic leukemia
M4Eo: Variant: Increase in abnormal marrow eosinophils

20%

M5: Monocytic leukemia

10%

M6: Erythroleukemia (DiGuglielmo’s disease)

4%

M7: Megakaryoblastic leukemia

1%

aES Jaffe et al: World Health Organization Classification of Tumours. Lyon, IARC Press, 2001.
bDiagnosis is AML regardless of blast count.
cJM Bennett et al: Ann Intern Med 103:620, 1985.

Table 70-1: Acute Myeloid Leukemia (AML) Classification Systems has been found in Harrison's Manual of Medicine 17/e

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