男,60岁。发热、消瘦1年。骨髓象示粒细胞系增生明显活跃,以多颗粒的异常早幼粒细胞为主,占有核细胞的38%。最可能的诊断是( )
A campus emergency ______ occur at any time of the day or night, weekend, or holiday, with little or no warning.
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