Skip to main content

Chronic Myeloid Leukemia

  • Chapter
  • First Online:
Hematologic Malignancies
  • 554 Accesses

Abstract

Progression of Chronic Myeloid Leukemia from chronic phase to accelerated phase to blast crisis is often associated with secondary chromosomal aberrations, such as trisomy 8, trisomy 19, duplication of Ph chromosome, isochromosome 17 q, acquisition of t(1;21) or translocations and inversions associated with AML/Myelodysplasia and show complex karyotypes.

The following case studies describe the karyotypic features in lymphoid as well as myeloid blast crisis in patients of CML. Cases only in blast crisis and not classic CML have been selected for additional chromosomal abnormalities demonstrated on cytogenetics (Annexure).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pan J, Xue Y, Wu Y, Wang Y, Shen J, et al. Dicentric (7;9)(p11;p11) is a rare but recurrent abnormality in acute lymphoblastic leukemia: a study of 7 cases. Cancer Genet Cytogenet. 2006;169(2):159–63.

    Article  CAS  Google Scholar 

  2. Fioretos T, Strombeck B, Sandberg T, et al. Isochromosome 17q in blast crisis of chronic myeloid leukemia and in other hematologic malignancies is the result of clustered breakpoints in 17p11 and is not associated with coding TP53 mutations. Blood. 1999;94(1):225–32.

    Article  CAS  Google Scholar 

  3. Nakai H, Misawa S, Toguchida J, et al. Frequent p 53 gene mutations in blast crisis of chronic myelogenous leukemia, especially in myeloid crisis harboring loss of chromosome 17p. Cancer Res. 1992;52(23):6588–93.

    CAS  PubMed  Google Scholar 

  4. Feinstein, et al. p53 gene in chronic myeloid leukemia in acute phase. Proc Nat Acad Sci USA. 1991;88:6293–7.

    Article  CAS  Google Scholar 

  5. Chandran K, Geetha N, Murugesan K, et al. Impact of additional chromosomal aberrations on the disease progression of chronic myelogenous leukemia. Front Oncol. 2019. https://doi.org/10.3389/fonc.2019.00088

  6. Salem A, Loghavi S, Tang G, et al. Myeloid neoplasms with concurrent BCR-ABL1 and CBFB rearrangements: a series of 10 cases of a clinically aggressive neoplasm. Am J Hematol. 2017;92(6):520–8.

    Article  CAS  Google Scholar 

  7. Nakai H, Misawa S, Toguchida J, et al. Frequent p53 gene mutations in blast crisis of chronic myelogenous leukemia, especially in myeloid crisis harboring loss of a chromosome 17p. Cancer Res. 1992;52(23):6588–93.

    CAS  PubMed  Google Scholar 

  8. Rovira A, Urbano-Ispizua A, Cervantes F, et al. P53 tumor suppressor gene in chronic myelogenous leukemia: a sequential study. Ann Hematol. 1995;70(3):129–33.

    Article  CAS  Google Scholar 

  9. Al-achkar W, Wafa A, Othman M. A novel dic (17,18)(p13.1;q11.2) with loss of TP53 and BCR/ABL rearrangement with an imatinib resistant chronic myeloid leukemia. Mol Cytogenet. 2012;5:36.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Annexure

Annexure

  • Case Study 7.1: Chronic Myeloid Leukemia with Lymphoid Blast crisis with rare dic (7;9)

  • Case Study 7.2: Chronic Myeloid Leukemia in Myeloid Blast Crisis with Hyperdiploid Complex Karyotype

  • Case Study 7.3: Chronic Myeloid Leukemia in Myeloid Blast Crisis with t(9;22) and inv(16)

  • Case Study 7.4: Chronic Myeloid Leukemia in Myeloid Blast Crisis with a novel dic(16;17) and TP53 Gene Deletion

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bhargava, M. (2021). Chronic Myeloid Leukemia. In: Hematologic Malignancies. Springer, Singapore. https://doi.org/10.1007/978-981-33-4799-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-981-33-4799-1_7

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-33-4798-4

  • Online ISBN: 978-981-33-4799-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics