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. Author manuscript; available in PMC: 2014 Dec 1.
Published in final edited form as: Expert Rev Anticancer Ther. 2013 Dec;13(12):1433–1452. doi: 10.1586/14737140.2013.859074

Table 1.

MD Anderson and World Health Organization definitions of accelerated phase and blast crisis in chronic myeloid leukemia [79]

Phase MD Anderson criteria World Health Organization criteria
Accelerated
  • Peripheral blood blasts ≥15%

  • Peripheral blood blasts and promyelocytes ≥30%

  • Peripheral blood basophils ≥20%

  • Platelet count ≤100 × 109/L unrelated to therapy

  • Clonal evolution

  • Blasts 10–19% of white blood cells in peripheral and/or nucleated bone marrow cells

  • Peripheral blood basophils ≥20%

  • Persistent thrombocytopenia (<100 × 109/L) unrelated to therapy or persistent thrombocytosis (>1,000 × 109/L) unresponsive to therapy

  • Increasing spleen size and increasing white blood cell count unresponsive to therapy

  • Cytogenetic evidence of clonal evolution

Blast crisis
  • Blasts ≥20% of peripheral blood white cells or of nucleated bone marrow cells

  • Extramedullary blast proliferation

  • Large foci or clusters in the bone marrow biopsy