it is not a stem cell disorder. Mutation occurs in the myeloid cell line only. Abnormal cells then take over marrow and suppress all normal haematopoeisis.
Due to abnormal uncontroled proliferation of clonal malignant leukemia cells that overcome and depresses normal hematopoiesis. So, finally the peripheral blood becomes filled with immature leukemia cells which are counted by automated analysers in the WBC chamber and major depression of Hb and PLT counts