Recently Answered Questions
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Is it necessary to do bone marrow transplant for acute leukemia?
Query: Hello doctor, My friend's brother has been diagnosed with blood cancer and underwent his first chemotherapy three weeks ago. According to the acute leukemia immunophenotyping by flow cytometry report, morphologic and immunophenotypic findings are consistent with acute myeloid leukemia. Immunophenoty... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Sorry to hear about his ill health. Let me tell you that after seven days of the first round of chemotherapy, a bone marrow biopsy should be done to check for the percentage of the blast. Ideally, it should be less than a five percent blast after the first round of chem... Read Full »
What is the treatment for acute lymphoblastic leukemia?
Query: Hello doctor, A 39-year-old female patient is suffering from acute lymphoblastic leukemia. She is currently being treated at a hospital by an oncologist. I am attaching her reports. Please suggest a treatment. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about the patient's condition. I have gone through the reports (attachment removed to protect patient identity). Lymphoblast is an abnormal form and in leukemia, premature cells are seen in the blood in increased number. So, as the blast cells wer... Read Full »
My child has very low WBC counts. Can chemotherapy be given?
Query: Hello doctor,I want to have an opinion about my daughter's (8 years old) chemotherapy treatment for B-cell acute lymphoblastic leukemia. I want to know that is it possible to start or continue chemotherapy at very low counts of WBC and WBC differential. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your child is having B-cell acute lymphoblastic leukemia. In that case, to induce remission, induction chemotherapy should be given to restore normal bone marrow. After induction, maintenance chemotherapy also to be given. Your total count might be low because of che... Read Full »
I have developed a small red spot on my skin over the past one month. Is this a sign of leukemia?
Query: Hi doctor,Over the past month, I have noticed a small red dot on my skin. They usually appear overnight and disappear within a few days. I have searched on the internet and grown concerned about this being a symptom of leukemia. I feel fine otherwise.Please advise. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I understand your concern. Following is my opinion about your asked question. I have seen attached images from the attached reports (attachments removed to protect the patient's identity). It is some form of allergic hives over the body. It is not a sign of blood cancer. ... Read Full »
Query: Hello doctor, My mother has been diagnosed with MDS (5q- syndrome) and receives ARANESP injections every three weeks. Her hemoglobin levels have been in the range of 9.3 to 11.4 over the past six months. Due to dementia, she primarily focuses on her immediate comfort and daily routine. Hospital visi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your mother has been diagnosed with MDS (myelodysplastic syndrome) with deletion 5q, and it is reassuring to know that the prognosis generally appears favorable with a mild clinical course. The doctor has prescribed a ... Read Full »
Is there a way to know the cause of increased CRP and WBC with just blood tests?
Query: Hello doctor,I need some follow-up information about a 77-year-old cousin diagnosed with JAK2 myeloproliferative and myelodysplastic neoplasm two years ago. He is being treated by a hematologist and gets consultation from his family physician. Unfortunately, he had several infections over the past y... Read Full »
Answer: Hello, Welcome to icliniq.com. It is confirmed by relevant history suggestive of infection. Immunophenotyping of peripheral blood or bone marrow is required to rule out acute transformation. So, you should consult a hematologist to make a proper diagnosis. Regards. Read Full »
Is bone marrow transplantation necessary in acute leukemia patient?
Query: Hello doctor, A 27-year-old female has acute leukemia (ALL). Her vision is lost because of the presence of malignant cells in the brain now but her treatment was finished six months back. Previously she got relapsed CSF 13 months back when her maintenance phase was going on. The doctor gave high do... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Acute lymphoblastic leukemia has a very high relapse rate in adults (about 60 %), the higher the white cell count, the worser the prognosis. Those with Philadelphia chromosome (chromosomal abnormality) have poor prognosis and bone marrow transplantation is required. Rel... Read Full »
My partner's father succumbed to leukemia. Is there a chance of my partner inheriting it?
Query: Hello doctor, I want to know about a rare disease with a high white blood cell count. My partner's father was 25 years old when he was diagnosed with this disease. Unfortunately, he succumbed to it after fighting for ten years. I want to know what are the chances of my partner catching it? Read Full »
Answer: Hello, Welcome to icliniq.com. It is difficult to describe a condition without any clinical history. However, it seems the patient had acute leukemia. This nowadays is not a life-threatening disease in most cases. But it was a serious ailment a decade ago. Moreover, it is not an inherited disease.... Read Full »
Bone marrow aspiration cytology shows 11 % blast cells. What has to be done?
Query: Hello doctor,Bone marrow aspiration cytology was done for my father who is 77 years old and the report shows the presence of 11 percent of blast cells (about two months ago). Kindly advise the next line of management. His ninth chemotherapy was completed three months back. Now laboratory report is s... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have not achieved complete remission from chemotherapy. Usually, complete remission can be considered only when blast cells in bone marrow are less than 5 % and platelet count more than one lakh. So, you can go for combination chemotherapy to achieve that target.... Read Full »
What is the survival rate of a 9-year-old kid with acute lymphoblastic leukemia?
Query: Hi doctor, My son is 9 years old. He had flu and vomiting before a few days. He got better and back to normal after four days. He started complaining of tiredness even after doing normal activities, like going to second floor, writing his homework. He was sweating abnormally during night without sig... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Based on the provided history and reports (attachment removed to protect patient identity), it seems to be a hemolytic anemia case. The cause for hemolytic anemia should be searched. Dengue also should be ruled out by IgM ELISA (enzyme-linked immunosorbent assay) tes... Read Full »