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Chronic Myeloid Leukemia (CML)

Diagnosis, symptoms, and treatment methods.

General Information About Chronic Myeloid Leukemia

Chronic myeloid leukemia (CML) is a blood cancer where abnormal myeloid cells are overproduced as a result of a genetic mutation (Philadelphia chromosome) in the bone marrow. It is characterized by fatigue and a noticeable enlargement of the spleen. In our Hematology clinic, the disease is successfully kept in the chronic phase and long-term survival is achieved with targeted therapies such as tyrosine kinase inhibitors (TKIs).

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Chronic Myeloid Leukemia (CML)?

It is the excessive production of faulty white blood cells because stem cells in the bone marrow (myeloid series), which normally turn into red blood cells, white blood cells, and platelets, grow out of control.

What is the Philadelphia Chromosome?

It is the primary cause of CML. It is a faulty and cancer-causing genetic mutation resulting from the breaking and incorrect swapping (translocation) of the 9th and 22nd chromosomes, which gives cells a 'keep dividing' command.

What are the Symptoms?

Fatigue, bone pain, pain under the left rib (fullness due to spleen enlargement), involuntary weight loss, and night sweats.

What are the Stages of CML?

The disease consists of three stages: the Chronic phase (the slowest, where most patients are diagnosed), the Accelerated phase, and the fatal Blastic crisis phase, which turns into acute leukemia if left untreated.

How is it Diagnosed?

It is noticed by a very high white blood cell (leukocyte) count in a routine blood test. For a definitive diagnosis, a bone marrow biopsy is taken, and the presence of the Philadelphia chromosome (BCR-ABL gene) is detected in a genetics laboratory.

How is the Treatment (Smart Drugs)?

CML is a disease that has broken ground in cancer treatment. The reproduction of cancerous cells is stopped with daily, oral smart pills called Tyrosine Kinase Inhibitors (TKIs), and patients live a normal lifespan without needing chemotherapy.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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