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Medicine Haematology 3ce9e141

Following investigations are required in initial evaluation of a chronic myeloid leukemia patient EXCEPT -

A
Peripheral smear
B
Test for Philadelphia chromosome
C
Bone marrow testing
D
HLA typing
High-Yield Explanation
CML is established by identification of the clone of hematopoietic stem cells that possesses the reciprocal translocation between chromosome 9 & 22,forming Philadelphia chromosome. Peripheral smear shows metamyelocytes, myelocytes, mature segmented neutrophils , basophils.Bone marrow examination reveals hypercellularity with predominance of myeloid cells.Reference:Harsh mohan textbook of pathology sixth edition pg no 357

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