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about chromic myelogenous lleukemai. - att
#1
what is the Rx of choice in 65 old dibetic patient?

a,Gleevac,

b.bone transplant.

c.alpha interferon
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#2
gleevac
marrow transplant done for <60 yrs,
between interferon and gleevac ,gleevac is more specific , though earlier we used to give interferon first,

so for exam ,if no gleevac in choices-interferon
if given -choose gleevac
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#3
--right glevac is a good choice ----even bone marrow transplantation come only after it fails after 6 month of treatment--

other treatment --hydroxyurea

alphafetoprotein will have more side effect

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#4
if elderly.no bone marrow donar,.unhealty ..medical rx.GLEEVEC is #1.
if gleevec not in ans choice choose iNTERFERON.....hydroxyluria not longer use(donot worry).


if young ,Donar present.....choose BONE MARROW TRANSPLANT.

in the above case ans is GLEEVEC
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