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Long-term myelomonocytic leukemia (CMML) can be a myelodysplastic syndrome/myeloproliferative overlap neoplasm characterized by sustained peripheral blood monocytosis and an inherent chance for transformation to acute myeloid leukemia (15-30% around 3-5 decades). When CMML is morphologically categorised into CMML-0, 1 and 2 dependant on peripheral