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Myelodysplastic syndrome is sometimes known as pre-leukemia, and many researchers now believe that, if untreated, it will progress to acute myeloid leukemia. It most commonly strikes people between the ages of 58 and 75, but can occur at any age, particularly if the patient has had cancer chemotherapy. It is estimated to affect as many as 50 Americans per 100,000, with about 20,000 new cases each year.