Statistical Approach to Chronic Lymphocytic Leukemia and Acute Leukemia

Joshua W. Goldman, MD; Morton Goldman, PhD; John Louis, MD
Arch Intern Med. 1978;138(4):659. doi:10.1001/archinte.1978.03630280103038.
Text Size: A A A
Published online

To the Editor.—  The review article by Zarrabi et al entitled "Chronic Lymphocytic Leukemia Terminating in Acute Leukemia,"1 questions the origin of the acute leukemic termination of chronic lymphocytic leukemia (CLL). The issue raised is whether the occurrence of acute leukemia (AL) with CLL is a second malignancy or a "blast crisis (transformation)," which occurs as a natural evolution of CLL. We would like to demonstrate that the number of cases with CLL and AL reported, and the number predicted, could occur by chance.Since 1936,2 19 cases of CLL and an associated AL have been reported1 in the American medical literature. Demographic and morphologic characteristics of the patients with AL have not been consistently reported. The average death rate in 1967 for all ages and sexes was 1.6 per 100,000 for CLL, and 2.4 per 100,000 for AL.3 The average annual population in the United


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.