Chronic Myelogenous Leukemia (CML) is a hematological malignancy originating from the neoplastic transformation of a hematopoietic stem cell. Its defining feature is the presence of the Philadelphia chromosome, resulting from the t(9;22)(q34;q11) translocation, which leads to the formation of the BCR-ABL fusion gene.
The disease typically begins with a chronic phase characterized by the expansion of granulocytic cells and can last several years. Without appropriate management, CML may progress to an advanced blast phase, marked by impaired cell differentiation and a significant increase of immature blast cells in blood or bone marrow.
Accurate molecular detection of the BCR-ABL fusion gene is essential for diagnosis, disease monitoring, and evaluation of treatment response, supporting effective clinical management and improved patient outcomes.
Chronic myelogenous leukaemia (CML) results from the neoplastic transformation of a haematopoietic stem cell. The hallmark genetic abnormality of CML is a t(9;22)(q34;q11) translocation, which was first discovered as an abnormal, small chromosome, named the Philadelphia chromosome. This translocation generates the BCR-ABL fusion gene. The initial chronic phase of this biphasic disease is characterized by a massive expansion of the granulocytic cell lineage. The median duration of the chronic phase is 3-4 years. Acquisition of additional genetic and/or epigenetic abnormalities causes the progression of CML from chronic phase to blast phase.
| Kit | Description | N. test | Code |
|---|---|---|---|
| BCR-ABL M-bcr Real-TM Quant | |||
| Real Time PCR kit | Real Time test for detection and quantification of mRNA chimeric gene bcr-abl (M-bcr) and mRNA gene abl | 100 | R-O1 / TR-O1 |
| Oncogenetics BRCA Panel new version | |||
| Real Time PCR kit | Real Time PCR kit for detection of 8 mutations: BRCA1 (185delAG, 4153delA, 5382insC, 3819delGTAAA, 3875delGTCT, T181G (Cys61Gly), 2080delA) and BRCA2 (6174delT) | 48 | R-27/P-48FRT |