Nan,
All I can tell you is in my last conversation with my onc what 
I 'THINK' I understood is that he wants the blasts at 0%, which would 
be a better indicator for longer remission and less chance for a 
mutation to occur.  However, I'm only 6 mth into this disease so I 
could have misunderstood what he was saying.  I go back in April for 
another bmb/bma and I plan to probe him a little more.  

I welcome any veterans in the group to jump in and give their 
thoughts.  Am I way off?  Besides blast % helping to determine what 
phase of CML your in what else do they help measure/track? 
Brenda    


--- In [email protected], "nanny_net2000" 
<[EMAIL PROTECTED]> wrote:
> 
> 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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