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Re: iwfal post# 171013

Monday, 12/09/2013 10:37:37 PM

Monday, December 09, 2013 10:37:37 PM

Post# of 257470
>Spleen Response

At the end of the day, the spleen enlargement is a symptom, not the cause of the disease. So personally I would be less fussy about whether the spleen reduced by 35% or 25% than a marrow CR. If you really do fix the marrow, the spleen should follow along.

Note that a marrow "CR" by itself is not really a complete cure because the definition still allows for some abnormal cells and a bit of fibrosis. And you still could have some molecular abnormalities - it's not nearly as accurate a measure as you get in CML say. Conceivably you could even get marrow that looks perfectly normal but still has some mutations that cause some symptoms to persist.

Peter

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