This Journal feature begins with a case vignette that includesa therapeutic recommendation. A discussion of the clinical problemand the mechanism of benefit of this form of therapy follows.Major clinical studies, the clinical use of this therapy, andpotential adverse effects are reviewed. Relevant formal guidelines,if they exist, are presented. The article ends with the author'sclinical recommendations.
A 28-year-old woman is referred for advice about the managementof recently diagnosed chronic myelogenous leukemia (CML). Shewas in excellent overall health but was incidentally found tohave an elevated white-cell count of 31,000 per cubic millimeter.Bone . . . [Full Text of this Article]
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Division of Hematology/Oncology, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit.
Address reprint requests to Dr. Schiffer at the Division of Hematology/Oncology, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, HWCRB 4th Fl., 4100 John R, Detroit, MI 48201, or at schiffer@karmanos.org.
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