Practice Support Cases

62-year-old woman Management of Accelerated Phase CML Patient

This case is a 62-year-old female who presented to the local ER with a recent history of left upper side abdominal pain, poor appetite, night sweats and a 20 lb. weight loss over the past two months.
27-year-old man Newly Diagnosed CML – Addressing Primary Resistance

This case is a 57-year-old male who presented to the local ER with left side upper quadrant abdominal pain, poor appetite, night sweats and recent weight loss of 20 pounds.
27-year-old man Newly Diagnosed CML

Our patient is a 27-year-old male who presents with fatigue, early satiety, and right upper quadrant pain. He has no prior medical history.
24-year-old woman Strategies in the Management of Secondary Resistance and in Chronic Phase CML

This is the case of the patient with secondary resistance to imatinib. The patient is a 24-year-old previously healthy African American woman who initially presented in June 2007 with a 2-month history of headaches and weight loss.
57-year-old woman Management of the Blast Crisis CML Patient

The patient is a 57-year-old Caucasian woman in whom the diagnosis of chronic myeloid leukemia was established in July 2008 when during routine physical examination, she was noted to have a white blood cell count of 98.  A bone marrow examination revealed chromosome translocation 9;22 in 100% of the metaphases.  Her past medical history was notable for hepatitis C infection due to blood transfusion that was successfully treated with Interferon and ribavirin.  The patient began treatment with imatinib 400 mg orally daily and 6 months after the initiation of treatment in January 2009 had achieved a complete cytogenetic response.
Last modified: February 3, 2014