Of note, a der(1;7)(q10;p10) was seen in this MDS case, which is a rare translocation that has been reported multiple times in pediatric/childhood (An et al., 2019; Wang et al., 2015; Wlodarski et al., 2016) and young adult MDS (Ganapathi et al., 2015) with pathogenic germline GATA2 variants; this results in chromosome 7q deletion analogous to −7/7q that is the most common acquired cytogenetic event in GDMM (Brown et al., 2020). Here, GATA2 is linked to myelodysplastic syndrome.