Abstract
The Philadelphia (Ph1) chromosome was the first specific chromosomal abnormality to be consistently associated with a particular neoplasm, in this case chronic myelogenous leukemia (CML,)1. Formed by a reciprocal translocation between chromosomes 9 and 222, the 22q-, or Ph1 chromosome is found in the malignant cells of more than 90% of patients with CML3. The presence of the molecular equivalent of a Ph1 chromosome is such a consistent finding in CML that it IS now the basis of a diagnostic test in routine clinical use.