Chronic Myeloid Leukaemia B016

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921

Last amended

Rulebase for chronic myeloid leukaemia

<h5>Current RMA Instruments</h5><table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2023/d9a58b8543/057.pdf&quot; target="_blank">Reasonable Hypothesis SOP</a></address></td><td><span>57 of 2023</span></td></tr><tr><td><a href="http://www.rma.gov.au/assets/SOP/2023/8f1604302e/058.pdf&quot; target="_blank">Balance of Probabilities SOP</a></td><td><span>58 of 2023</span></td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="e0486ee2-62b5-4a48-87f8-e9f80b9d0566" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><p>ICD-10-AM Code C92.1</p><h5>Brief description</h5><p>This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.</p><h5><strong>Confirming the diagnosis</strong><strong> </strong></h5><p>Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. </p><p>The relevant medical specialists are a haematologist and a pathologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>Chronic myelogenous leukaemia</li><li>Chronic granulocytic leukaemia</li><li>Chronic myeloblastic leukaemia</li><li>Chronic myelocytic leukaemia</li></ul><h5><strong>Conditions excluded from SOP </strong></h5><ul><li>Acute myeloid leukaemia*</li><li>Atypical chronic myeloid leukaemia<sup><span>#</span></sup></li><li>Chronic eosinophilic leukaemia<sup><span>#</span></sup></li><li>Chronic neutrophilic leukaemia<sup><span>#</span></sup></li><li>Leukemoid reactions<sup><span>#</span></sup></li><li>Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP</li><li>Chronic lymphoid leukaemia*</li><li>Chronic myelomonocytic leukaemia<sup><span>#</span></sup> </li><li>Myelodysplastic disorder*</li></ul><p>* another SOP applies</p><p><sup><span># </span></sup>non-SOP condition</p><h5><strong>Clinical onset</strong></h5><p>The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.</p><h5>Clinical worsening</h5><p>The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.</p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia

Atomic radiation

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/atomic-radiation

Cigar smoking

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/cigar-smoking

Cigarette smoking

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/cigarette-smoking

No appropriate clinical management for chronic myeloid leukaemia

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/no-appropriate-clinical-management-chronic-myeloid-leukaemia

Pipe smoking

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/pipe-smoking

Smoking tobacco products - material contribution

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/smoking-tobacco-products-material-contribution

Undergoing a course of therapeutic radiation

Current RMA Instruments
Reasonable Hypothesis SOP
57 of 2023
Balance of Probabilities SOP58 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code C92.1

Brief description

This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow.  It is associated with specific gene abnormalities.

Confirming the diagnosis 

Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing. 

The relevant medical specialists are a haematologist and a pathologist.

Additional diagnoses covered by SOP
  • Chronic myelogenous leukaemia
  • Chronic granulocytic leukaemia
  • Chronic myeloblastic leukaemia
  • Chronic myelocytic leukaemia
Conditions excluded from SOP
  • Acute myeloid leukaemia*
  • Atypical chronic myeloid leukaemia#
  • Chronic eosinophilic leukaemia#
  • Chronic neutrophilic leukaemia#
  • Leukemoid reactions#
  • Chronic lymphocytic leukaemia* - mature B-cell lymphoid leukaemia and small lymphocytic lymphoma SOP
  • Chronic lymphoid leukaemia*
  • Chronic myelomonocytic leukaemia# 
  • Myelodysplastic disorder*

* another SOP applies

non-SOP condition

Clinical onset

The condition may be asymptomatic and first suspected following a blood test.  Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness.  An enlarged spleen may be found on examination.  Average age of onset is around 60 years old.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  The condition is potentially curable with a hematopoietic cell transplant.  The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-myeloid-leukaemia-b016-c921/rulebase-chronic-myeloid-leukaemia/undergoing-course-therapeutic-radiation