Info

definition of chronic myelogenous leukemia (CML)

(Blood 2009;114:937)

  • Myelo-proliferative neoplasm  w/ clonal overproduction of : hematopoietic myeloid stem cells that can differentiate
  • A dysregulated production & uncontrolled proliferation of mature/maturing granulocytes
  • 15–20% of adult leukemias,
  • approx 5,000 new cases/y in the United States,
  • 1–2 cases per 100,000 adults,
  • median age ∼64 (United States),
  • younger median age in Asia/Africa

  • (Ph) = t(9;22)
  • → BCR-ABLE1 fusion
  • → ↑ Able kinase activity

如果其他的表現都一樣,但 Ph negative : myeloproliferative neoplasm


BCR-ABLE1 required for diagnosis (make via karyotyping or FISH; PCR)