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  • 1
    ISSN: 1432-0584
    Keywords: Key words CML ; Minor bcr-abl ; Therapy-related leukemia ; Fluorouracil
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report here a very rare case of chronic myeloid leukemia (CML) with a minor bcr-abl transcript, which developed following long-term chemotherapy with fluorouracil for esophageal carcinoma. A 64-year-old male patient was diagnosed with CML. Four years earlier, he had suffered from esophageal carcinoma, which was treated by surgical resection followed by oral administration of fluorouracil (200 mg/day) for 4 years. Molecular analysis of his Philadelphia chromosome (Ph) using reverse-transcriptase polymerase chain reaction (RT-PCR) and subsequent sequencing revealed a minor bcr-abl transcript. The clinical course of this patient was aggressive with a short chronic phase of CML. This is the first reported case of secondary CML with a minor bcr-abl transcript.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Annals of hematology 61 (1990), S. 303-306 
    ISSN: 1432-0584
    Keywords: ITP ; CFU-Meg ; DNA synthetic phase ; Megakaryocyte ; Platelet
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The number and proliferative state of megakaryocyte progenitor cells (CFU-Meg) were compared between 13 patients with idiopathic thrombocytopenic purpura (ITP) and hematologically normal controls. The mean frequency of CFU-Meg assayed by the plasma clot method was 27.8 ± 12.2 (± SD)/2×105 bone marrow light-density cells for the ITP patients, which did not differ significantly from the control value of 31.9 ± 16.1. The percentage of CFU-Meg in DNA synthesis estimated by the3H-thymidine suicide technique was 41.3% ± 9.2% in ITP, which was significantly greater than the control value of 27.1% ± 7.4% (P 〈 0.01). The megakaryocyte counts for histological sections prepared from bone marrow aspirates from the ITP patients and controls were 34.5 ± 8.5/mm2 and 11.2 ± 5.8/mm2, respectively, with the difference being highly significant (P 〈 0.001). These results suggest that increased cycling activity in a quantitatively unchanged CFU-Meg pool may lead to increased megakaryocytes in the bone marrow of ITP patients.
    Type of Medium: Electronic Resource
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