It looks to me that they are telling you the truth! While the bone marrow sample was not optimal, it shows no cytogenetic changes, which is really good. The marrow is hypocellular but probably expected at her age? It seems to show that the marrow is producing all cell lines. Her anemia doesn't seem severe, although I am confused with the different columns. Does it run 9-10 or 7-8? Her anemia is normocytic with a normal MCV, which is good, as MDS is macrocytic, and anemia from blood loss I think is microcytic. There is something called *anemia of chronic disease*, and tends toward normocytic. Does she have any significant chronic diseases like rheumatoid arthritis? She doesn't have chronic renal failure which can also cause anemia of chronic disease. Her other labs are good. Her RBC is not bad although below normal, for someone tx dependent. I don't have any other ideas, sorry, and I hope this helps some.
Mags
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Margaret, age 68, dx MDS 5 q- 5/09- now RCMD; also MGUS. TP53 and TET2 mutations
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