creators_name: Bhise, R creators_name: Purohit, S creators_name: Lokanatha, D creators_name: Jacob, L creators_name: Suresh, TM creators_name: Govind Babu, K creators_name: Babu, S creators_name: Lakshmaiah, KC creators_id: rohanbhise30@gmail.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2013-05-04 23:09:12 lastmod: 2013-05-04 23:09:12 metadata_visibility: show title: Chronic Myeloid Leukemia with Variant Chromosomal Translocations: Results of Treatment with Imatinib Mesylate. ispublished: pub subjects: OJHAS full_text_status: public keywords: Chronic myeloid leukemia; Imatinib; Variant translocation abstract: Objective: To evaluate the efficacy of imatinib in chronic myeloid leukemia patients with variant translocations. Methods: Forty eight chronic myeloid leukemia patients carrying variant translocations and treated with imatinib at our institute were considered for the study. Survival and response rates were evaluated. Results: The median follow up was 48 months(m). Forty three (89.58%) patients achieved complete hematologic response. Thirty one (64.58%) patients achieved complete cytogenetic response and 19(39.58%) achieved major molecular response anytime during their follow up period. Only 18.75% of the patients achieved complete cytogenetic response and major molecular response within the stipulated time frames.The estimated overall survival at 48 m median follow up was 81.2%.The progression free survival was also 81.2% and the event free survival was 79.1%.There was no significant survival difference between low vs intermediate and high risk sokal group. Conclusion: We report suboptimal responses to imatinib in chronic myeloid leukemia with variant translocations. Further studies with imatinib and the newer more active drugs dasatinib and nilotinib are justified. date: 2013-01-25 date_type: published publication: Online Journal of Health and Allied Sciences volume: 11 number: 4(5) publisher: Kakkilaya BS refereed: TRUE referencetext: 1. Jabbour E, Kantarjian H. Introduction: chronic myelogenous leukemia (CML). Semin Hematol. 2007;44(1 suppl 1):S1-S3. 2. Rowley JD. A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine fluorescence and Giemsa staining. Nature. 1973;243(5405):290-293. 3. Huret JL. Complex translocations, simple variant translocations and Ph-negative cases in chronic myelogenous leukaemia. Genet. Hum 1990; 85(6):565-568 4. Gorusu M, Benn P, Li Z, Fang M. On the genesis and prognosis of variant translocations in chronic myeloid leukemia. Cancer Genet Cytogenet. 2007;173(2):97-106. 5. Richebourg S, Eclache V, Perot C, et al. 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