Case Report

Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case

Volume: 65 Number: 3 September 3, 2026
EN TR

Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case

Abstract

The aim of this study is to present a case involving the extremely rare coexistence of chronic myeloid leukemia (CML) and chronic lymphocytic leukemia (CLL), and to contribute to the identification of accurate diagnostic approaches and appropriate therapeutic strategies. A 55-year-old woman referred to our outpatient clinic for leukocytosis was found to have both marked neutrophilia and lymphocytosis on initial laboratory evaluation. Peripheral blood smear demonstrated mature lymphocytes along with an increased granulocytic series and myeloid precursor cells; no blasts were observed. After exclusion of infectious etiologies, flow cytometric analysis revealed CD19, CD23, and CD5 positivity, consistent with CLL. Concurrent fluorescence in situ hybridization (FISH) analysis demonstrated the presence of the BCR:ABL1 fusion. Subsequent bone marrow biopsy confirmed the concurrent presence of CML and CLL. The patient was started on imatinib therapy and remains under close hematologic follow-up.

Keywords

References

  1. 1. Jabbour EJ, Kantarjian HM. Chronic myeloid leukemia: 2025 update on diagnosis, therapy, and monitoring. Am J Hematol. 2024;99:2191-2212.
  2. 2. Hallek M, Cheson BD, Catovsky D, Caligaris-Cappio F, Dighiero G, Döhner H, et al. iwCLL guidelines for diagnosis, indications for treatment, response assessment, and supportive management of CLL. Blood. 2018;131:2745-2760.
  3. 3. Bhagavathi S, Borromeo V, Desai H, Crisan D. Case report and literature review: a rare patient with chronic myeloid leukemia and chronic lymphocytic leukemia. Ann Clin Lab Sci. 2008;38:405-409.
  4. 4. Rahman K, George S, Mangal S, Mehta A. Simultaneous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: report of an unusual case. Indian J Pathol Microbiol. 2013;56:453-456.
  5. 5. Boddu P, Gibbons J, Burger JA, Sivina M, Thakral B, Kanagal-Shamanna R, Ferrajoli A. Co-occurrence of chronic myeloid leukemia with chronic lymphocytic leukemia: a report of two cases. Leuk Lymphoma. 2019;60:1568-1571.
  6. 6. Abdalla E, Fadul A, Osman AE, Mohamed G, Soliman DS, Shawayli H, et al. Review of rare association between chronic lymphocytic leukemia and chronic myeloid leukemia. Blood. 2024;144(Suppl 1):6805.

Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Case Report

Publication Date

September 3, 2026

Submission Date

December 4, 2025

Acceptance Date

May 4, 2026

Published in Issue

Year 2026 Volume: 65 Number: 3

APA
Taghıyeva, F., Köseoğlu, F. D., & Tuncer, S. S. (2026). Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case. Ege Tıp Dergisi, 65(3), 608-611. https://doi.org/10.19161/etd.1836093
AMA
1.Taghıyeva F, Köseoğlu FD, Tuncer SS. Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case. EJM. 2026;65(3):608-611. doi:10.19161/etd.1836093
Chicago
Taghıyeva, Fatma, Fatoş Dilan Köseoğlu, and Saniye Sevim Tuncer. 2026. “Synchronous Occurrence of Chronic Myeloid Leukemia and Chronic Lymphocytic Leukemia: An Uncommon Case”. Ege Tıp Dergisi 65 (3): 608-11. https://doi.org/10.19161/etd.1836093.
EndNote
Taghıyeva F, Köseoğlu FD, Tuncer SS (September 1, 2026) Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case. Ege Tıp Dergisi 65 3 608–611.
IEEE
[1]F. Taghıyeva, F. D. Köseoğlu, and S. S. Tuncer, “Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case”, EJM, vol. 65, no. 3, pp. 608–611, Sept. 2026, doi: 10.19161/etd.1836093.
ISNAD
Taghıyeva, Fatma - Köseoğlu, Fatoş Dilan - Tuncer, Saniye Sevim. “Synchronous Occurrence of Chronic Myeloid Leukemia and Chronic Lymphocytic Leukemia: An Uncommon Case”. Ege Tıp Dergisi 65/3 (September 1, 2026): 608-611. https://doi.org/10.19161/etd.1836093.
JAMA
1.Taghıyeva F, Köseoğlu FD, Tuncer SS. Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case. EJM. 2026;65:608–611.
MLA
Taghıyeva, Fatma, et al. “Synchronous Occurrence of Chronic Myeloid Leukemia and Chronic Lymphocytic Leukemia: An Uncommon Case”. Ege Tıp Dergisi, vol. 65, no. 3, Sept. 2026, pp. 608-11, doi:10.19161/etd.1836093.
Vancouver
1.Fatma Taghıyeva, Fatoş Dilan Köseoğlu, Saniye Sevim Tuncer. Synchronous occurrence of chronic myeloid leukemia and chronic lymphocytic leukemia: An uncommon case. EJM. 2026 Sep. 1;65(3):608-11. doi:10.19161/etd.1836093

Ege Journal of Medicine enables the sharing of articles according to the Attribution-Non-Commercial-Share Alike 4.0 International (CC BY-NC-SA 4.0) license.