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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Required To Have Bone Marrow Transplant When White Blood Count Is More?

my oncologist says I need a bone marrow transplant very soon after two treatments my white blood cells have dropped to 8 th. MY ZAP 70 IS POSITIVE AND SAID MY CLL IS VERY AGGRESSIVE.. I AM NOT DOUBTING HIM BUT I WAS TALKING TO A MAN WHOSE WHITE COUNT WAS TWICE AS MUCH AS MINE AND HE JUST WENT THROUGH STANDARD TREATMENT NO BMT AND AFTER 15 YEARS IS DOING WELL..
Mon, 29 Jun 2015
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Hematologist 's  Response
zap 70 is considered as a bad prognostic marker. but only that will not let u to a transplant. The main parameters are your response to initial line of treatment. even refractory cases nowadays have a new FDA approved drug. Dont worry
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Hematologist Dr. Hardik Sanghvi's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You have chronic lymphocytic leukemia. Treatment depends on stage of leukemia.
In early stage no treatment is required. Only wait and watch approach is useful. In late stage chemotherapy like chlorambucil is given. Bone marrow transplantation is required in very few cases. Please send me your all reports. So that I can help you further.
Thanks for using health care magic. Wish you a very good health.
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Is It Required To Have Bone Marrow Transplant When White Blood Count Is More?

zap 70 is considered as a bad prognostic marker. but only that will not let u to a transplant. The main parameters are your response to initial line of treatment. even refractory cases nowadays have a new FDA approved drug. Dont worry