1988 年 29 巻 7 号 p. 1010-1017
Molecular biologic study was performed in 30 cases of chronic myeloproliferative disorders (MPD). According to the study dealing with breakpoint cluster region (bcr) rearrangment, 10 of 11 cases of Ph1(+) chronic myelogenous leukemia (CML) had bcr rearrangement, whereas 2 of 5 Ph1(-) CML had the change. On the other hand, other MPD, including 8 cases of polycythemia vera, 2 myelofibrosis, 2 essential thrombocythemia and 1 undifferentiated MPD didn't show bcr rearrangement. These data strongly suggest that bcr rearrangement is a characteristic change for CML in MPD, and a heterogeneity might be present in Ph1(-) CML; some show bcr rearrangement and others do not. This molecular biologic heterogeneity might be related to clinical features in Ph1(-) CML.