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Original Article
Brief Report
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Volume 336:337-339 January 30, 1997 Number 5
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Spontaneous Remission in a Patient with Chronic Myelogenous Leukemia
Manabu Musashi, M.D., Syuiti Abe, Ph.D., Toshiyuki Yamada, Ph.D., Junji Tanaka, M.D., Yasunari Gotohda, M.D., Shiro Maeda, M.D., Yasuo Sato, M.D., Masanobu Morioka, M.D., Keisuke Sakurada, M.D., Tomonori Minagawa, M.D., Ph.D., Masahiro Asaka, M.D., and Tamotsu Miyazaki, M.D.

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In chronic myelogenous leukemia (CML) the Philadelphia (Ph) chromosome originates from a reciprocal translocation, t(9;22)(q34;q11),1 that generates a chimeric BCR-ABL gene.2 The disease is incurable without bone marrow transplantation. In some cases, intensive chemotherapy3,4 or treatment with interferon alfa can suppress the Ph-positive clone in the bone marrow,5,6,7 but the detection of residual disease by the polymerase chain reaction (PCR) in patients with a complete cytogenetic response suggests incomplete eradication of these cells.8

Few cases of Ph-positive CML have been reported in which a long-term remission occurred without treatment.9,10,11 We describe a patient with Ph-positive CML who entered a lengthy . . . [Full Text of this Article]

Case Report

Methods

Results

Discussion


Source Information

From the Third Department of Internal Medicine (M. Musashi, J.T., Y.G., S.M., Y.S., M. Morioka, K.S., M.A., and T. Miyazaki) and the Department of Microbiology (T. Minagawa), Hokkaido University School of Medicine; and the Chromosome Research Unit, Faculty of Science, Hokkaido University (S.A., T.Y.) — both in Sapporo, Japan.

Address reprint requests to Dr. Musashi at the Third Department of Internal Medicine, Hokkaido University school of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060, Japan.

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