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.
The fifth patient was a 39 year old female who was referred because of severe Anemia and Cytopenia and she was diagnosed as MDS in BMA (). During a 4 month follow up period, she had a mass in supraclavicular area and after neck mass resection; she was diagnosed as Hodgkin's lymphoma and patients required blood injection and antibiotics for infection treatment. After the treatment of fourth and fifth patients, blood disorders are totally resolved. In next BMA review, Myelofibrosis or RS (reed-sternberg cell) wasn't seen.