Patient's question:
White blood cells 10.4; neutrophils 69%, lymphocytes percentage 28%, mature immature cells 9%, red blood cells 3.16, hemoglobin 103, platelets 61. Bone marrow image: granulocytes/erythrocytes = 21:1, with neutrophils accounting for 84%, based on mature immature cells (I+II types) accounting for 36.5. Autoimmune typing: CD56+, chromosome analysis showed 45, X, -Y, T(8:21)(q22:q22){20}.Past treatment and outcomes: Currently, the third chemotherapy has been completed. No recurrence of fever or infection during the treatment. Complete remission was achieved after the second chemotherapy.
Hello, can this type of chemotherapy heal on its own? Or should bone marrow transplantation be performed as soon as possible? What is the success rate of bone marrow transplantation?
Doctor's answer:
According to reports, the five-year survival rate is 40% to 50%. However, it is recommended to undergo bone marrow transplantation because, first, children with acute non-lymphocytic leukemia (including M2) are prone to the disease and generally have a harder time living long-term; second, bone marrow transplantation in children has a high success rate and mild rejection. As for care, it mainly involves preventing infection and encouraging dietary intake. If visiting, it is recommended to remember sterilization, and for diet, it is advisable to drink more water, consume high-protein, high-energy foods, and eat less if gastrointestinal function is poor, with more frequent small meals.