Current opinions and controversies in chronic myeloid leukaemia

Purpose of Review: The prognosis of chronic myeloid leukaemia (CML) has improved remarkably over the last 11 years with the introduction of tyrosine kinase inhibitors (TKIs) in clinical practice. Here we intend to focus on clinically based problems and their solution based on the evidence from literature and our experience as a centre for excellence. Recent Findings: Recent results from trials with first and second generation TKIs have help to clarify some, but not all, of the common clinical dilemmas that physicians face when treating CML patients. Summary: CML treatment received a paradigm shift with the launch of TKIs. However, questions remain about adherence, tolerability, toxicity, resistance, and management and about the selection of second-generation drugs and the interpretion of responses and the role of stem cell transplantation.