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November 4, 2025British Journal of Haematology2 citationsOpen Access

Chronic myelomonocytic leukaemia

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ATAyalew TefferiMPMrinal M. Patnaik

Key Points

  • Clonal monocytosis is a defining feature of chronic myelomonocytic leukaemia.
  • Over 90% of patients have somatic mutations associated with myeloid neoplasms, impacting prognosis.
  • Palliative drug therapy predominates, highlighting the role of curative treatment like allogeneic stem cell transplantation.
  • Prognostic models, including BLAST and BLAST‐molecular risk models, guide the timing of transplantation.

Abstract

Summary Chronic myelomonocytic leukaemia (CMML) is a morphological hybrid between myelodysplastic and myeloproliferative neoplasms and is characterized by clonal monocytosis. Myeloid neoplasm‐associated somatic mutations are present in >90% of patients with CMML but are not diagnostically specific but a subset are prognostically relevant. Current drug therapy in CMML is mostly palliative and not disease‐modifying. Allogeneic haematopoietic stem cell transplantation is a potentially curative treatment modality in CMML and its timing is determined by formal prognostic models including the recently developed BLAST and BLAST‐molecular risk models.

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Cite This Study

Tefferi et al. (2025) studied this question.

synapsesocial.com/papers/690945348f2297dc1353301chttps://doi.org/10.1111/bjh.70226
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