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Pediatrics Treatment for juvenile patients

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Old Thu Jan 5, 2017, 11:29 PM
Meahgee Meahgee is offline
Join Date: Apr 2014
Posts: 8

I am still waiting on the rest of the reports, but can anyone explain what this means? Also in sideroblastic anemia would you see it in the biopsy or only the aspirate?

"Mild to moderately hypocellular marrow with hemorrhage into the marrow space with relative erythroid hyperplasia. Optimal evaluation is precluded by disrupted marrow and hemorrhage. No evidence of sideroblasts seen. "

Okay so does this optimal evaluation mean anything that is listed isn't accurate or what is written they could tell, but it was hard to tell the rest?
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Old Fri Jan 6, 2017, 12:09 AM
DanL DanL is offline
Join Date: Dec 2010
Location: Denver, CO
Posts: 582
From what I can see, it means that the results are incomplete, not necessarily inaccurate.
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.
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Old Fri Jan 6, 2017, 10:23 AM
Meahgee Meahgee is offline
Join Date: Apr 2014
Posts: 8
So what would make them complete? Another biopsy?
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Old Sat Jan 7, 2017, 03:07 AM
Hopeful Hopeful is offline
Join Date: Jan 2009
Location: California, USA
Posts: 721
Hi Meahgee,

I always assumed that "no evidence of sideroblasts seen" on my BMB reports was just an indication that they checked for them and didn't see them. So, I wouldn't worry about this statement on the report.

I would ask the doctor about the reason for the "hemorrhaging in the marrow space"- was this because of problems with the biopsy extraction or is it a sign of something else going on in the marrow??

Hope you get more clarity when the rest of the reports come in.
53 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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