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What do these lab reports indicate?

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Posted on Tue, 12 Jun 2018
Question: Dear Doctor
I am consulting for a friends daughter for Blood cancer.
I have attached her medical reports.
Kindly advice me a treatment plan and her odds.
I do understand that it is a opinion based on a report.
I shall start setting up a treatment plan with a cancer hospital.
I have attached her reports sharmila1,sharmilab,sharmilc,

I have a doubt on the summary that the prognosis is poor, progression of disease without a treatment plam which I think is commercially motivated as the patient is poor

XXXX
doctor
Answered by Dr. Deepak Sundriyal (46 minutes later)
Brief Answer:
Hello dear. In relapsed state, prognosis is guarded

Detailed Answer:
Hello dear. I have gone through the details. So the prognosis is not so good because of the fact that patient has relapsed after initial treatment and she had hypotension and infection. Next treatment plan will be a reinduction chemotherapy followed by bone marrow transplant.
Thanks and regards
Feel free to ask further
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Deepak Sundriyal (29 minutes later)
Thanks doctor.

Any additional information regarding chemo can be suggested. What kind of protocol needs to be done.
Is bone marrow done before or during or after chemo therapy.

What is the infection she has ?.
doctor
Answered by Dr. Deepak Sundriyal (43 minutes later)
Brief Answer:
Hello. Any protocol can be used

Detailed Answer:
Hello dear. Since she had fever and hypotension, infection was present, details not there in summary. She has recovered now. We usually uae hypercvad protocol however any protocol based on physician choice can be used. Bone marrow is done in the beginning and then as per the protocol requirement.
Thanks and regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1546 Questions

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What do these lab reports indicate?

Brief Answer: Hello dear. In relapsed state, prognosis is guarded Detailed Answer: Hello dear. I have gone through the details. So the prognosis is not so good because of the fact that patient has relapsed after initial treatment and she had hypotension and infection. Next treatment plan will be a reinduction chemotherapy followed by bone marrow transplant. Thanks and regards Feel free to ask further