“…Several patients [2,5,8,14,20] have survived for over 8 years without transformation to the blast cell phase occurring and have given support to the view that absence of the Y chromosome is associated with a benign course. However, this idea has been chal lenged recently [13] by a report of 2 patients with CGL and absence of the Y chromosome, who had a very short chronic phase of less than 18 months.…”