Survival Rates After Relapse of Acute Lymphoblastic Leukemia Post-Transplant
The survival rate after relapse following transplantation in acute leukemia? Acute Lymphoblastic Leukemia (ALL, pre-B) has a reported success rate of about 50% for the first transplant, and if there is a relapse after an allogeneic stem cell transplant, the prognosis can vary. Th...
Dr. Chen Yunfang Reply:
Hello: Since you did not provide the patient's "age" or "how long after the transplant the relapse occurred," I will summarize the current clinical literature findings: 1. If the patient is a child and relapses within a year and a half post-transplant, th...[Read More] Survival Rates After Relapse of Acute Lymphoblastic Leukemia Post-Transplant
Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Lymphadenopathy with leukopenia? Last week, I visited a gastroenterologist due to gastrointestinal discomfort. After undergoing an endoscopy, no abnormalities were found, only mild gastritis. I also asked the gastroenterologist to refer me to an ENT specialist to examine the lymp...
Dr. Lai Yicheng Reply:
Mr. Zhao: Thank you for your inquiry. Here are the responses: 1. Since each individual's constitution is different, it is indeed possible. If you are concerned about anesthesia leading to low white blood cell counts, please discuss with your physician whether a re-evaluation...[Read More] Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Understanding Elevated White Blood Cell Counts: Leukemia Risks and Dietary Tips
Elevated white blood cell count? During a blood test in middle school, it was found that my white blood cell count was elevated. However, during a health check-up last December, my white blood cell count reached 18,000. Due to the high white blood cell count, I had another blood ...
Dr. Lai Yicheng Reply:
Hello Ms. Kelly: 1. Based on your description, a white blood cell count of 10,800 does not resemble the symptoms of leukemia; it is more indicative of an infection. I recommend consulting an infectious disease specialist for further evaluation. 2. The normal range for white b...[Read More] Understanding Elevated White Blood Cell Counts: Leukemia Risks and Dietary Tips
Understanding Blood Test Results: Insights into Tumor-Related Concerns
Blood Inquiry Hello Doctor, last week I went to the emergency room due to headaches and dizziness. The blood test report showed CBC 8.95 10^3/µL, SEG 26.3%, LYMPH 55.4%, MONO 10.7%, PDW 9.2 fL, and other values were within the standard range. I have researched hematological sympt...
Dr. Chen Yunfang Reply:
Hello: Based on the blood test results you provided, there does appear to be a hematological issue. The most significant concern is the elevated percentage of lymphocytes, which accounts for 55.4% of the total white blood cell count. This is abnormal, as the normal range for lymp...[Read More] Understanding Blood Test Results: Insights into Tumor-Related Concerns
Understanding Blood Test Results: Insights for Tumor Patients
Blood report Hello Doctor, due to headaches, dizziness, fatigue, and weakness, I went to the emergency room last week. The blood test results showed WBC 8.95 x 10^3/µL, PDW 9.2, F1SEG 26.3%, LYMPH 55.4%, MONO 10.7%, with other values at the standard margins. I researched online a...
Dr. Chen Sirong Reply:
Hello, I am 30 years old and female. Since middle school, my white blood cell count has always been elevated. I am unsure why I cannot donate blood each time. There is a family history of leukemia. Should I undergo further testing based on this report? Is this a hematology issue,...[Read More] Understanding Blood Test Results: Insights for Tumor Patients
Understanding Persistent Abnormal Blood Counts: MDS and Beyond
Blood Cell Issues 2 I apologize, but my platelet count (PLT) is between 450 and 600, which is considered elevated, and my white blood cell count (WBC) ranges from 13,000 to 17,000. During my first bone marrow biopsy, I was diagnosed with Myelodysplastic Syndromes (MDS), but durin...
Dr. Chen Yunfang Reply:
Hello: It turns out that not only are your white blood cell counts elevated, but your platelet counts are also high. If that's the case, I wouldn't consider you to have Myelodysplastic Syndromes (MDS), as MDS would typically show at least one hematopoietic lineage being...[Read More] Understanding Persistent Abnormal Blood Counts: MDS and Beyond
High White Blood Cell Count: Should You Worry About Leukemia?
The white blood cell count is as high as 23,100? In September, my blood test showed a white blood cell count of 15,000. I had two more tests in between, and the count remained around 15,000. I underwent a white blood cell differential, which came back normal. However, on December...
Dr. Lai Yicheng Reply:
Dear young lady, 1. We have received your letter informing us that your white blood cell count was 15,000 in September and increased to 23,100 in December without any fever. The concern you have regarding leukemic conditions, specifically the presence of "immature leukocyte...[Read More] High White Blood Cell Count: Should You Worry About Leukemia?
Understanding Elevated White Blood Cell and Platelet Counts: Risks and Monitoring
Blood cell issues? I have had elevated white blood cell and platelet counts for a long time, with white blood cells currently around 13,000 to 17,000 and platelets between 45,000 and 60,000, while all other parameters are normal (without any illness). I have undergone two bone ma...
Dr. Chen Yunfang Reply:
Hello: Based on your information, your white blood cell count is slightly higher than normal, while your platelet count is somewhat lower (45-60, what is the unit?). Is that correct? Generally speaking, clinical physicians would typically suspect you might have MDS (Myelodysplast...[Read More] Understanding Elevated White Blood Cell and Platelet Counts: Risks and Monitoring
Understanding Low White Blood Cell Counts in Cancer Patients
Leukopenia Hello, my mother (currently 68 years old) was diagnosed with stage IV breast cancer in August 2010 and began treatment (chemotherapy, left mastectomy, and radiation therapy) for nearly a year and a half. She currently maintains follow-up visits to the oncology departme...
Dr. Chen Yunfang Reply:
Hello: Regarding the low white blood cell count you mentioned, it is indeed quite unusual. I have many breast cancer patients who are taking Fulvestrant, and they have not experienced low blood counts. I believe the low white blood cell count is unrelated to this medication. If i...[Read More] Understanding Low White Blood Cell Counts in Cancer Patients
Challenges of Uncovered Oral Targeted Drugs in Cancer Treatment
The National Health Insurance does not cover oral targeted therapy medications? Hello, Director Lai. My father was diagnosed with hematologic cancer at the end of June, and the report stated "subacute myeloid leukemia" (but I couldn't find much information on this ...
Dr. Lai Yicheng Reply:
Dear Miss Ya-Hui, Regarding your question, you may consult a hematology-oncology specialist. The physician will inform you about the medications used. Currently, there are numerous targeted therapies available, making it difficult to answer your question specifically. Thank you...[Read More] Challenges of Uncovered Oral Targeted Drugs in Cancer Treatment
Understanding Blood Counts in Myeloid Leukemia: Key Insights for Patients
The blood cell counts of patients with leukemia typically show elevated white blood cell (WBC) counts, decreased red blood cell (RBC) counts, and reduced platelet counts (thrombocytopenia)? Dear Dr. Chen, I have been diagnosed with myelodysplastic syndrome (the doctor mentioned ...
Dr. Chen Yunfang Reply:
Hello: Although you did not explicitly state your diagnosis, based on your description, I suspect you may have been diagnosed with myelodysplastic syndrome (MDS). Our hematologists consider MDS to be a precursor to blood cancer, and if left untreated, there is a significant chanc...[Read More] Understanding Blood Counts in Myeloid Leukemia: Key Insights for Patients
Understanding MDS: Treatment Criteria and When to Start Targeted Therapy
MDS disease issues In the case of MDS RAEB-1, is it necessary to have a specific blood cell count decrease in order to use targeted therapy? I have normal or elevated peripheral blood counts, but I was diagnosed with this condition due to issues found in a bone marrow biopsy. Cur...
Dr. Chen Yunfang Reply:
You have been diagnosed with MDS RAEB-1, correct? It is important to note that for this diagnosis, the presence of abnormal blast cells in the bone marrow examination should account for 5-9% of the total blood cells. Although this does not qualify as acute leukemia (commonly refe...[Read More] Understanding MDS: Treatment Criteria and When to Start Targeted Therapy
Elevated Basophils: Should You Worry About Leukemia?
Increased eosinophils? Leukemia? Hello Doctor: At the end of 2012, I had a health check at Taichung City Hospital, and the results that were flagged were: Eosinophil percentage 4.0% (reference range 0.2–1.4%) and Eosinophil count 0.3 (reference range 0.0–0.2 x 10^3/uL). All other...
Dr. Fan Sheng Reply:
Dear Betty: If you are concerned about leukemia, please go to the hematology department to schedule a blood test. We cannot make a diagnosis without proper examination. For the nosebleeds, please see an otolaryngologist to determine whether it is a nasal mucosa issue or a potenti...[Read More] Elevated Basophils: Should You Worry About Leukemia?
Understanding Lumps in the Jaw: When to Seek Medical Attention
There is a lump on the right lower jaw? Hello doctor, a few days ago I suddenly felt pain in the lower right jaw area. At first, I thought it was a toothache, but then I felt a small movable lump on my face that is also a bit painful. It feels very much like lymphatic pain. Since...
Dr. Lai Yicheng Reply:
Dear Ms. Socks, Both your face and neck have lymphadenopathy. The causes of lymph node enlargement are diverse, and most of the reasons are not easily identifiable, which is why it is referred to as non-specific lymphadenopathy. If the lymphadenopathy is caused by the invasion o...[Read More] Understanding Lumps in the Jaw: When to Seek Medical Attention
Overcoming Cancer Anxiety: Coping Strategies for Tumor Fears
Cancer phobia Hello Doctor: I have been consumed by the fear of cancer for the past few months. It started with an ultrasound examination last September (initially for fatty liver, but the doctor suspected a tumor in my kidney). A subsequent CT scan confirmed that everything was ...
Dr. Chen Sirong Reply:
Coco: 1. Your reaction is completely normal; it's good to remember any health information you hear and reflect on whether it applies to you. 2. You may have overreacted a bit; if the tests come back negative, just let it go and find peace! 3. You have already noted the sympt...[Read More] Overcoming Cancer Anxiety: Coping Strategies for Tumor Fears
Concerns About Blood in Gums and Urine: Is Leukemia Possible?
Is there cancer? Hello Doctor: I would like to ask about my mother. She mentioned that when she brushes her gums, there is noticeable bleeding, but when she doesn't do it intentionally, it's not as bad. She has also been experiencing small bubbles in her urine since ear...
Dr. Chen Junyi Reply:
Common causes of gum bleeding include: 1. Periodontal disease or poor oral hygiene; 2. Issues with blood coagulation, such as liver cirrhosis, patients on dialysis, autoimmune diseases, or even the possibility of cancer. It is recommended that if periodontal disease is ruled out,...[Read More] Concerns About Blood in Gums and Urine: Is Leukemia Possible?
Exploring Vidaza Treatment for AML (M2): Benefits, Risks, and Alternatives
Treatment of AML (M2) with Vidaza: Advantages & Disadvantages Inquiry Hello Dr. Fan, my father is 63 years old and has been diagnosed with AML (M2). He underwent chemotherapy (ara-C, idarubicin) for the first cycle in April 2010, which was supposed to last 7 days, but he only...
Dr. Fan Sheng Reply:
DEAR JENNY: 1. In the case of Myelodysplastic Syndromes (MDS) and Acute Myeloid Leukemia (AML that develops from MDS), even if the malignant cells in the bone marrow are nearly eradicated through chemotherapy, the cells that regenerate will still be malignant, as there are no h...[Read More] Exploring Vidaza Treatment for AML (M2): Benefits, Risks, and Alternatives
Treatment Recommendations for Relapsed AML (M2) in Older Patients
The treatment recommendations for Acute Myeloid Leukemia (AML, M2) typically include: 1. **Induction Therapy**: The standard initial treatment often involves a combination of chemotherapy agents, such as cytarabine and an anthracycline (e.g., daunorubicin or idar Hello, Dr. Fan....
Dr. Fan Sheng Reply:
Hello, Xiao Zhen: 1. In my opinion, the rock candy white fungus and lotus seed soup has no therapeutic effect on leukemia, but it also does not have any negative impact. 2. Currently, various hospitals have established smoking cessation clinics, and I recommend consulting with...[Read More] Treatment Recommendations for Relapsed AML (M2) in Older Patients
Understanding Fever and Lung Shadows in Leukemia Patients: Key Considerations
excuse me? A leukemia patient who is hospitalized due to fever and has lung shadows detected, despite having received pneumonia, influenza, and H1N1 vaccines, with normal rapid tests and experiencing wheezing, may be experiencing several potential issues. The lung shadows could i...
Dr. Fan Sheng Reply:
LKK: The patient was hospitalized due to fever and a shadow was found in the lungs, which is likely pneumonia. Strong broad-spectrum antibiotics are needed for treatment. Thank you.[Read More] Understanding Fever and Lung Shadows in Leukemia Patients: Key Considerations
Understanding Leukemia: Stages, Causes, and Treatment Options Explained
Leukemia Hello Doctor: My girlfriend has leukemia, and she mentioned that she has had it for many years. She told me that there are a total of four stages, and she is currently in stage three. Is this due to genetic factors, or what other reasons might contribute to it? Besides b...
Dr. Chen Sirong Reply:
1. Causes: The majority of leukemia cases have unclear origins, while a small number can be attributed to specific factors: a. Radiation exposure, such as previous radiation therapy or exposure to radiation. b. Chemical agents, including certain chemotherapy drugs and sub...[Read More] Understanding Leukemia: Stages, Causes, and Treatment Options Explained