21 The overall ASIR per 100,000 per year for MDS in our study (0.85) suggests an increasing trend, compared to the previous report in Bahrain (0.7) ( Figure 2 ). 1 Increasing trends of MDS over time were reported in the US and Europe and this might be attributed to the improved diagnosis and reporting of these malignancies. 27 , 29 Multiple myeloma The MM was the third most common primary hematologic malignancy in our study.
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Hematologic malignancies of primary bone marrow involvement: a decade's experience in Bahrain.
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A decreasing trend of the ASIRs of CML and ALL and increasing trend of the ASIRs of MDS and MM, compared to previous reports, were observed in Bahrain and this is in line with the global trends.