CML Flashcards

1
Q

Ph chromosome breakpoints

A

t(9;22) - Philadelphia

p190 - more ALL
p210 - more CML

(alphabetical)

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2
Q

CML major molecular response

A

<0.1% BCR-ABL or >3 log reduction

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3
Q

CML phases

A

Chronic phase
Accelerated phase: blast 10-30%
Blast phase: blast >30%; 1/3 AML, 2/3 ALL –> HSCT

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4
Q

CML TKI options

A

Imatinib
Dasatinib - faster/deeper remission
NIlotinib - faster/deeper remission
Ponatinib (for T315I mutation or TKI resistance)

all have similar OS

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5
Q

TKI s/e

A

myelosuppression
fluid retention
rash
hepatotoxicity (transaminases)
endocrinopathies

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6
Q

CML HSCT criteria

A

accelerated/blast phase
failure of multiple TKI
unacceptable/intolerable TKI toxicity

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