Clinical haematology · UKMLA & AKT

Chronic myeloid leukaemia (CML)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise chronic myeloid leukaemia (cml) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Myeloproliferative neoplasm driven by the Philadelphia chromosome - t(9;22)(q34;q11) present in >95% of cases
  • BCR-ABL1 fusion oncogene produces a constitutively active tyrosine kinase - drives uncontrolled myeloid proliferation and inhibits apoptosis
  • Median age at diagnosis 55-60 years; accounts for ~15% of adult leukaemias; slight male predominance

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