It's hard with CMML, lots of info says 20% live after 5 years....I try not to focus on life expectancy numbers, everyone is unique and different and thus respond differently to different treatments.
October 6, 2024
Certainly! Here is detailed information on the treatment and prognosis of Chronic Myelomonocytic Leukemia (CMML) based on my knowledge base:
Treatment Options for CMML
1. Chemotherapy and Drug Therapy:
- Chemotherapy is used to kill cancer cells or stop them from growing.
- Drug therapy may include hypomethylating Show Full Answer
Certainly! Here is detailed information on the treatment and prognosis of Chronic Myelomonocytic Leukemia (CMML) based on my knowledge base:
Treatment Options for CMML:
1. Chemotherapy and Drug Therapy:
- Chemotherapy is used to kill cancer cells or stop them from growing.
- Drug therapy may include hypomethylating agents like azacitidine and decitabine.
2. Stem Cell Transplantation:
- This involves replacing diseased bone marrow with healthy stem cells.
- It is a potential cure but comes with significant risks.
3. Supportive Therapy:
- Includes treatments to manage symptoms and improve quality of life.
- May involve blood transfusions, antibiotics, and growth factors.
4. Radiation Therapy:
- Used to shrink enlarged spleen or lymph nodes.
- Not commonly used as a primary treatment.
5. Surgery:
- Splenectomy (removal of the spleen) may be considered if the spleen is causing significant symptoms.
Prognosis Factors for CMML:
- Age: Older age can negatively impact prognosis.
- Health Conditions: Other existing health conditions can affect outcomes.
- Blood Cell Counts: Abnormal counts can indicate a worse prognosis.
- Genetic Changes: Specific genetic mutations in CMML cells can influence prognosis.
- Lactate Dehydrogenase (LDH) Levels: High levels often indicate a worse prognosis.
- CMML Subtype:
- Type 0 or 1: About 20% live for five years or more.
- Type 2: About 10% live for five years or more.
- 15% to 30% of people with CMML may develop acute myeloid leukemia (AML).
Survival Rates:
- Type 0 or 1 CMML: About 20% live for five years or more.
- Type 2 CMML: About 10% live for five years or more.
- AML Development: About 18% of people with type 0 or 1 CMML develop AML within five years. About 63% of people with type 2 CMML are diagnosed with AML within five years.
For more personalized information, it's always best to consult with your healthcare team. They can provide insights tailored to individual health characteristics and treatment responses.
October 5, 2024
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