Abstract

Chronic myelogenous leukemia (CML) is the most common and best studied of the chronic myeloproliferative disorders, resulting from a characteristic Philadelphia chromosomal abnormality, t(9;22)(q34q11). The molecular consequence of this chromosomal translocation is production of a hybrid BCR-ABL (breakpoint cluster region–Abelson leukemia virus) fusion protein product (p210) with tyrosine kinase activity and transforming properties. Morphologic, cytogenetic, and molecular studies are essential in the diagnosis and monitoring of patients with CML. Newer chemotherapeutic agents and hematopoietic stem cell transplantation have substantially improved the prognosis for patients with CML.

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