Two years after discontinuation of the drug, bone marrow puncture neolymph 1 5, relapse

The diagnostic criteria for leukemia in China: one of the following three occurs after remission (CR) is called **:

Bone marrow myeloblast type + (primitive monocyte + naïve monocyte or primitive lymph + naïve lymphocyte) 5% and 20%, after a course of effective anti-leukemia** treatment still fails to meet the standard of complete remission of bone marrow image.

Bone marrow myeloblast type + (primitive monocyte + naïve monocyte or primitive lymph + naïve lymphocyte) 20%.

Extramyeloid leukemia cell infiltration.

According to the information you provided: on April 20, 2001, the blood picture was normal, and the bone marrow aspirate result was naïve lymphocytes, so your leukemia did not **, and you are still in complete remission.

I found a document, the abstract is as follows, for your reference: "Shanghai Children's Medical Center analyzed and followed up 37 children with mildly elevated myeloblastic lymphoblastic cells (5% 10%) in remission of acute lymphoblastic leukemia from 1998 to 2005, and all but 1 case were in remission. They suggested that myeloblastic lymphocyte elevation was due to reactive hyperplasia of bone marrow normal B-lineage lymphocytes regenerated after chemotherapy, and that viral infection could also cause elevated lymphocytes.

Therefore, this mild elevation (5% to 10%) is a reactive proliferation of normal lymphocytes with a good prognosis. ”

It is a reactive proliferation of normal lymphocytes, basically not**, it is normal, and you can rest assured.

First of all, the normal platelets are 10-300,000, and your mother's is 74,000 or 740,000? What are white blood cells and red blood cells? If the protoblasts are present in the bone puncture, leukemia cannot be determined (leukemia bone perforation protoblasts are greater than or equal to 20%).

But it is certain that it will soon progress to acute leukemia. For the time being, the diagnosis should be MDS-Raeb-2. You can search for "hematopoietic mysteries" on the Internet, and this disease is introduced.

Personally, I don't think it's a problem.

Attached] Efficacy criteria for acute leukemia.

1. Mitigation criteria:

1) Complete remission (CR).

Bone marrow image: protogranula (protomono + juvenile mono or protomyloid + juvenile lyrcle) 5%, erythroid and megakaryocyte lines are normal. (Note the standards for M2B, M3, M4, M6, M7).

Blood count: Hb 100 g L for males, HB 90 g L for women and children, absolute neutrophil L, platelets 100x10 9 L, no leukemic cells in peripheral blood typing.

Clinical: no signs and symptoms of leukemic infiltrate, normal or near-normal life.

2) Partial remission (PR).

Bone marrow: 5% of the original granules (original monomono + protomono or proto-drenching + proto-drenching>) but 20% or one of the 2 clinical and hemogram items did not meet the criteria for complete remission.

3) Non-remission (NR): Those whose bone marrow image, blood picture and clinical 3 items do not meet the above criteria.

2. Standard: One of the following three is called relapse:

1) Bone marrow granules (original mono + juvenile mono or protodrenching + juvenile drench) >5% but 20%, and those who have not reached complete remission after a course of effective anti-leukemia** treatment;

2) 20% of bone marrow granules (original mono + young mono or proto-drenching + proto-drenching) >;

3) Patients with extrabone marrow leukemia cell infiltration.

3. Continual complete remission (CCR): those who have been leukemia-free for 3-5 years since CR.

4. Long-term survival: Those who have survived for 5 years or more (including disease-free or disease-free survival) from the date of diagnosis of leukemia.

5. Clinical**: refers to those who have stopped chemotherapy for 5 years or survived without disease for 10 years.

Hello, 52 days pregnant, progesterone large unit, hcg value, not very low, is too low. Abnormal.

If your menstrual period is normal, then there is a possibility of ectopic pregnancy, etc., and the HCG is too low. Consult the doctor who will examine you for the specific situation.

The above bone marrow results showed that the granularity and erythroid lines were low; Lymphatic elevation should be diagnosed in combination with morphology and clinical symptoms and other tests.

The landlord, in general, the rate of acute gonorrhea leukemia itself is not as good as that of acute non-drenching, and the prognosis of L2 is neither good nor bad in acute drenching. But since there is no porting after CR1, then I think it is a very wrong decision on your part. The effect of general chemotherapy will decrease significantly after 6 to 8 courses of treatment, while the damage to the body will increase, so it is not meaningful to continue chemotherapy.

In addition, for the most advanced patients, the leukemia cells in the body often show a high degree of drug resistance, and chemotherapy is likely to be useless, which is why the remission rate of the most advanced leukemia patients is not large. Therefore, for the second ** patient, the first thing to cross is to alleviate this level, if it is successfully relieved, then the landlord quickly admires your luck! Then a bone marrow transplant without hesitation.

If you choose to repeat chemotherapy, then the remission period will be short, the leukemia will be rapid**, and the mortality rate can be said to be 100%.

Landlord, the condition is very dangerous now, I don't know why you didn't choose a transplant when you were in CR1, you really missed your excellent ** opportunity. The ** rate of chemotherapy alone for acute lymphoblastic leukemia is 30%, which is still bold to say! At your age, the rate of bone marrow transplantation is at least 50% I really, really don't know what you're planning in your heart, landlord, you're taking your life seriously!

When you are sensible, you will regret that you did the transplant when you were not in CR1.

I hope the landlord pays attention to protecting his liver, your aminotransferases are too high, I wish the landlord can get CR2 as soon as possible, and he must not hesitate to transplant, remember. This is your last chance!!

The bone marrow problem is not big, it is not easy to determine, you can first use some Diyu Sheng White Tablets or Chinese medicine to nourish qi and blood**;

At the moment, there is no way to confirm the diagnosis. You can use some elm liter white tablets ** for a while.

At present, leukemia needs to be stratified individually, and acute showering is no exception, and it needs to be stratified according to the patient's condition. For low-risk types, it is generally recommended to use a combination of traditional Chinese and Western medicine, and for high-risk types, allogeneic bone marrow transplantation can be considered after remission. At present, Western medicine mainly uses chemotherapy and bone marrow transplantation, and the more authoritative Western medicine hospitals are Peking Union Medical College Hospital, Beijing 301, Beijing People's Hospital, Tianjin Blood Research Institute, etc.

Chemotherapy regimens are all the same. However, chemotherapy alone is the most important one, and the other is that it cannot completely remove the residual leukemia cells, and it can only be relieved. CCTV once reported a program of "Blood Cancer Life and Death", which is the diagnosis and treatment of 2 patients with acute leukemia, you can refer to it.

Hello, my friend is acute lymphoblastic leukemia B cell type, it has been two years now, and it has been good since he stopped treatment, he is in Peking University People's Hospital, to give you a suggestion! Hope it helps! (All I said is true).

Tianjin's better and more authoritative, in fact, the prognosis is mainly related to age and sex, genotyping, the number of blasts in the bone marrow, etc., and the ** scheme is actually the same.

If you really want to go, 1, Peking University People's Hospital 2, Tianjin Institute of Hematology. If you have been to both of them, you can leave the rest of China without going.

Beijing People's Hospital, also known as the Second Clinical Hospital of Peking University, is the most authoritative hospital for leukemia, and bone marrow transplantation is the earliest and best place in the country.

Beijing's 307 is good, and it is very important to see if the results of the fusion gene come out, whether it is negative or positive.

Leukaemia.

Three or fifty thousand yuan can be completely cured. There's no need to rush. From Beijing to Shanghai, you can drive a car, take a train, take a high-speed rail, take a bullet train, and also take a plane.

The effect is definitely different depending on the way. Choice requires wisdom, and a better tomorrow depends on oneself to strive for it. I wish you the best way and soon**!

Bless me, as soon as possible, it's better to listen to a professional doctor.

Post-diagnosis chemotherapy regimens are standardized

Hello, high protoblasts are not an indication for chemotherapy, what are the protocytes? How many blasts are there? Chemotherapy is generally used for acute leukemia.

The diagnosis of acute leukemia requires blasts greater than 20%. Therefore, the need for chemotherapy requires a specific diagnosis, and chemotherapy regimens are different for different types of leukemia.

What about typing? The chemotherapy regimen is determined according to the type of diagnosis and age, and should not be blinded.