|
The bone marrow biopsy will probably help identify potential next steps. They will be looking for cytogenetic abnormalities, degrees of dysplasia, which blood lines are most affected, and the percentage of blasts (immature cells) in the marrow.
There are three FDA approved drugs that are commonly used. Vidaza, Dacogen, and Revlimid. Revlimid is used when there is a particular type of cytogenetic abnormality knows as a 5q deletion.
All of the drugs have been used in elderly patients effectively, and may help improve his transfusion dependency and quality of life.
__________________
MDS RCMD w/grade 2-3 fibrosis. Allo-MUD Feb 26, 2014. Relapsed August 2014. Free and clear of MDS since November 2014 after treatment with Vidaza and Rituxan. Experiencing autoimmune attack on CNS thought to be GVHD, some gut, skin and ocular cGVHD. Neuropathy over 80% of body.
|