The third patient was a 40 year old female due to refractory anemia and leucopenia. She underwent BMA and BMB and had MDS criteria including dyserithropoies and dysgranlopoiesis () who has been diagnosed by colon cancer during a12 months follow up period.
The fourth patient was a 28 year old female who has been referred because of Macrocystic Anemia, thrombocytopenia and low Retic counts. During 6 months follow up interval, patient affected by neck mass and she was diagnosed as Hodgkin lymphoma. However she no need to blood transfusion but MDS criteria () disappeared after treatment of oncology disease.