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)