Monosomy 7 is one of the most common secondary chromosome issues for
those with CML, and it is normally transient (comes and goes).  If the
Monosomy 7 is confirmed by re-testing, an important question to ask
the Onc is whether the Monosomy 7 is showing up in the Ph+ (leukemic)
cells or in the Ph- (non-leukemic) cells.  If in the Ph- cells, it is
not necessarily a significant issue, and could possibly go away by
itself over time.  But if the Monosomy 7 is in the Ph+ cells, then it
could possibly be a sign of disease progression.  But since this issue
is not well understood, close monitoring for any signs of progression
or Gleevec resistance is important.

http://online.haematologica.org/EHA13/browserecord.php?-action=browse&-recid=2648

It is unknown whether this is caused by Gleevec.  There is a clinical
trial starting that is trying to figure this out by testing non-CML
users of Gleevec (those with an intestinal tumor called GIST) to see
if GIST patients develop Monosomy 7 and other abnormalities.  If they
do, then that would show that Gleevec is the cause, not the CML.

http://clinicaltrials.gov/ct2/show/NCT00461929

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