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Leukemia Lecture Part 2 - Pathology

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Peripheral Blood in CML<br />

■ 15-20% of all leukemias<br />

■ Young or middle-aged patients<br />

■ Asymptomatic, fatigue, abdominal fullness,<br />

early satiety, weight loss, anorexia<br />

■ Splenomegaly, bone pain, bone tenderness<br />

■ Proliferation of myeloid cells in blood and<br />

bone marrow (mostly myelocytes → polys)<br />

■ Slow progression (3 yr survival without Rx)<br />

■ Ph 1 chromosome in > 95%<br />

■ All patients have chimeric bcr/abl mRNA

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