A 44-year-old female diagnosed as having chronic myelogenous leukemia (CML) in the acute phase is found to possess three cell lines, 46, XX (35%), 47, XXX (50%), and 48, XXXX (15%), in cultured lymphocytes, although her skin culture shows exclusively a 47, XXX karyotype. By contrast, all of the bone marrow cells examined in the acute phase as well as in remission and relapse has a 47, XXX, t(9;22) constitution, with some random karyotypic variations in the initial acute phase before therapy. These findings seem to provide additional evidence for the monoclonal origin of Ph
1-positive cells in CML.
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