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Forty\u2010three months later, she developed secondary CML\u2010BP with CD19+ mixed phenotype (B\/myeloid), previously unreported. Following induction therapy, sequential therapy with blinatumomab and ponatinib achieved qualitatively PCR\u2010negative minor\n                    <jats:italic>BCR::ABL1<\/jats:italic>\n                    transcripts, indicating that residual transcripts below the qualitative assay's detection limit were undetectable. She received an allogeneic bone marrow transplant and remains well with PCR\u2010negative minor\n                    <jats:italic>BCR::ABL1<\/jats:italic>\n                    at 15 months after transplantation. This sequential therapy suggests a potential utility as a bridge to hematopoietic stem cell transplantation for secondary CML\u2010BP with CD19+ mixed phenotype.\n                  <\/jats:p>","DOI":"10.1002\/jha2.70249","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:51:34Z","timestamp":1772988694000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Secondary Chronic Myeloid Leukemia in the Blast Phase With Mixed Phenotype After Radiation Therapy: A Case Report"],"prefix":"10.1002","volume":"7","author":[{"given":"Masanori","family":"Aoki","sequence":"first","affiliation":[{"name":"Clinical Laboratory Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Hemato\u2010Oncology Saitama Medical University 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