Hi Cheryl Anne and Brenda
Not sure I am understanding this at all, so forgive me if I have 
read it completely incorrectly.
Rich is 100% PH+ since losing response to Glivec in May 2004.  
Discovered he has M244V P Loop Mutation, yet his blasts are only 1%. 
Figures still have him in chronic phase, but consultant concerned he 
was on verge of accelerated phase due to the grouping of the blasts, 
as opposed to numbers.  Currently on Hydrea and awaiting BMS in 
London, UK.
Can you explain this article any further ?  Hope I am not being 
dense.
Love to you both 
Annette


--- In [email protected], "Brenda Morelli" <[EMAIL PROTECTED]> wrote:
> 
> Thanks Cheryl Anne,
> This helps me understand why my onc was only semi happy about my 
> results, though I was 0 PH+ and PCR at .4%, my myloid blasts had 
only 
> dropped from 3% to 2% after 6 mths.  That's what he wanted to see 
at 
> 0%, he had said that once blasts are at zero there is longer 
> remission hold AND less chance of mutation.  
> Brenda
> 
> 
> --- In [email protected], "Cheryl-Anne Simoneau" 
> <[EMAIL PROTECTED]> wrote:
> > Blast count and cytogenetics correlate and are useful parameters 
> for the
> > evaluation of different phases in chronic myeloid leukemia.
> > 
> > Bacher U, Kern W, Schnittger S, Hiddemann W, Schoch C, Haferlach 
T.
> > 
> > Staging of chronic myeloid leukemia (CML) phases is based on
> > cytomorphological criteria that vary considerably between 
different 
> staging
> > systems. Thus, staging of CML is heterogeneous and causes 
problems 
> with
> > respect to the comparison of therapeutical strategies and 
clinical 
> outcome.
> > We evaluated 59 patients with CML in different stages of the 
> disease. In
> > order to define which cytomorphological parameters correlate with
> > cytogenetics we investigated cytomorphology and cytogenetics in 
> parallel in
> > all cases. As a result, bone marrow blast count demonstrated a 
> highly
> > significant correlation with the respective cytogenetic results 
of 
> the
> > patients and was clearly linked to the frequency and complexity 
of 
> clonal
> > evolution. We therefore propose to focus staging systems of CML 
on 
> the
> > correlation of the percentage of bone marrow blasts and the 
> cytogenetic
> > results.





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