THE Co-Occurrence of Jak2/Calr-Positive Myeloproliferative Disorder and Bcr-Abl-Positive Chronic Myelogenous Leukaemia Treated with Combination of Tyrosine Kinase Inhibitors and Ruxolitinib. Dual Myeloid Disorder Treated with Two Drug Association

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Katia Paciaroni
Selenia Campagna
Nicoletta Villiva'
Enrico Maffini
Francesca Celesti
Attilio Tordi
Mariangela Lombardi
Giulia Dragonetti
Tommaso Caravita di Toritto

Keywords

Myeloproliferative neoplasms, tyrosine kinase inhibitor, Chronic Myeloid Leukemia, Jak2 inhibitors

Abstract

The concomitant presence of BCR-Abl1 and JAK2/CALR mutations in Myeloproliferative neoplasms (MPNs) is rare. The clinical presentation of Chronic Myelogenous Leukemia (CML) and Ph-negative MPN may vary, but  CML seems to play a dominant role, so patients usually receive treatment with tyrosine kinase inhibitor (TKI) only. The second Ph-negative MPN becomes evident under the selective pressure of the TK.I.

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