Chronic Myelogenous Leukemia (CML)

Overview

Chronic Myelologenous Leukemia (CML) is a type of blood cancer that begins in the bone marrow, where it causes the body to produce too many abnormal white blood cells called granulocytes.

What causes CML

Most people with CML have a genetic change called the Philadelphia chromosome. This change creates a new gene called BCR-ABL, which makes the cells grow uncontrollably. This gene is not inherited from parents but happens during a person’s life. The exact cause of this change is unknown.

Common signs and symptoms

  • Persistent fatigue
  • Unexplained fevers
  • Night sweats
  • Easy bruising or bleeding
  • Bone or joint pain
  • Swollen lymph nodes, liver and spleen
  • Pallor

Diagnostic tests and procedures

  • Complete blood count (CBC) can reveal abnormalities in blood cell levels indicative of leukemia.
  • Peripheral blood smear to look for abnormal cells.
  • Bone marrow aspiration and biopsy to check for cancerous cells .
  • Further tests like flow cytometry and genetic tests to predict prognosis and choose the best treatment.
  • Imaging like X-rays or CT scans

Treatment options

Targeted therapy

These drugs block the abnormal signals that make leukemia cells grow

Chemotherapy

While targeted therapy is the primary treatment, chemotherapy may be used alongside it to manage symptoms.

Bone marrow transplant (BMT)

If targeted therapies and chemotherapy are insufficient, a stem cell transplant may be recommended replace diseased bone marrow with healthy stem cells from a donor.

Supportive care

including blood transfusions, antibiotics for infections, and other medications.

Prognosis

The prognosis for patients with CML has improved significantly over the years due to advancements in treatment options, particularly with targeted therapy. Many patients can achieve long-term remission and maintain a good quality of life.

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