Table 3:
Diagnostic Criteria for Chronic Neutrophilic Leukemia
  • Peripheral blood leukocytosis >25 x 109/L
    • Segmented neutrophils and bands >80% of leukocytes
    • Immature granulocytes <10% of leukocytes
    • Myeloblasts <1% of leukocytes
  • Hypercellular bone marrow
    • Increased number and percentage of
      neutrophilic granulocytes
    • Nucleated marrow cells with <5% myeloblasts
    • Normal neutrophilic maturation pattern
  • Hepatosplenomegaly
  • No Philadelphia chromosome or bcr/abl fusion gene
  • No other cause for neutrophilia
    • No infectious or inflammatory process
    • No evidence of another myeloproliferative disease
    • No evidence of a myelodysplastic or myelodysplatic/myeloproliferative disease
    • No evidence of a tumor or, if present, the myeloid cells must show clonality
Adapted with permission from IARC Press (Reference 1).
Copyright 2003 The Cleveland Clinic Foundation

Return to Chronic Leukemia Chapter