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CML Developing Three Years after Therapy Completion in a Child with Ph(-) Pre-B-ALL
S Hosseini1, G H Bahoush, P Vousogh
1Hematology Laboratory, Hematology Oncology Ward, Ali Asghar Children Hospital, Tehran, Iran.
Abstract:
We report a girl with a history of Ph(-) pre-B-ALL and three years of disease-free survival admitting to our hospital for regular end of treatment checkup with an increased white blood cell count which in follow-up studies and molecular detection of BCR-ABL (p210) fusions gene had been diagnosed as a Ph(+) typical CML. The upcoming question in this case scenario is whether developed CML is a secondary leukemia due to previous ALL chemotherapy or just a relapse case of primary leukemia.