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Chronic myelogenous leukemia

Chronic myelogenous leukemia. A 65-year-old male give chief complaint of feeling tired for 2 years. The physician noticed found the spleen enlarged and others were negative. Laboratory findings:. RBC: 3.0×10 12 /L Hb:86 g/L WBC: 145×10 9 /L DC: Immature cells 60% ; Bands 15% ;

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Chronic myelogenous leukemia

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  1. Chronic myelogenous leukemia A 65-year-old male give chief complaint of feeling tired for 2 years. The physician noticed found the spleen enlarged and others were negative.

  2. Laboratory findings: RBC: 3.0×1012/L Hb:86 g/L WBC: 145×109/L DC: Immature cells 60% ; Bands 15% ; Seg. 13%; B 6%; E 5% ; M 1 % PLT: 400×1012/L

  3. Blood smear

  4. Bone Marrow

  5. Bone Marrow

  6. Ph chromosome

  7. Questions 1. According to the case and BM, what is the most probable diagnosis? 2. What are the diagnostic bases? 3. What additional tests are needed to establish the diagnosis?

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