Wednesday, February 07, 2007

Leukemia chromosomal abnormalities

That's right! Those are the kind of words I am getting used to. And as I cannot focus on my all important reading right now, I think I am just going to right out my medical issues or not issues as I understand it. If you understand the following, you must either be a doctor or have cancer, or are just plain smart. I am a 21 year old male with a history of Ewing's Sarcoma. No residual disease is evident at this time from either initial diagnoses or relapse which occured 12 months off therapy. After nine months of chemotherapy for treatment for relapse, a routine bone marrow test was done. The test did not show any evidence of Ewing's sarcoma nor had it at any point. But Cytogenetics tests were disconcerting showing many chromosomal abnormalities. Chromosomes 1, 15, and I think 18 all showed clones. After another follow up bone marrow two months later the chromosome abnormalities were only limited to chromosomes 1 and 15 where part of chromosome 1 had broken off and gone to 15. In effect the tests were improving. Blast levels have always been well below 20% and there is no other evidence of a secondary AML (Acute Myeloma Leukemia) or CML (chronic myeloma leukemia) developing. The only other abnormality lies in routine CBC's where MCV levels have been slightly elevated (avg. 103.0 in a normal range of 80-97.0) but these levels have been at this level for at least 7 months and have not risen that much....

So what does that mean? I don't feel like explaining. But it does make me wonder, do all people who have been around cancer for such a long period of time have such an understanding of things that they can look at such a case, interperet it, and have little or no emotions in day to day reports of such? I don't know that either. What I do know is that emotions do sway opinions. I have always felt it necessary to keep my emotions in check when dealing with such things, although it doesn't always happen, for, I am human. But that doesn't mean it doesn't plague me, nor does it mean that I have no feelings on all these things, it is simply my way of coping. We all have ways of doing so, and what I reported above is not necessarily bad news, its just news. Take it in stride.






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