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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For 77year Old Suffering With Acute Myeloid Leukemia?

Are there treatments available for 77 year old men with acute myeloid leukemia . Is stem cell ,or bone marrow possible at that age? I have an uncle who was told he has AML and it seems it was very advanced when found. His white count has climbed from 48,000 to 116,000 in about 5 days despite taking chemo pills. He today started a very aggressive chemo which he was told a week ago he would not be up to taking. Does this appear to you as a last resort attempt to help him . This is the reason for my first 2 questions.
Mon, 24 Feb 2014
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  User's Response
HI
Thank for asking to HCM
I can better understand your concern for your uncle, what ever he is on is the only option remained for him, no one can say that this is last attempt, natural remission is the golden chance and every patient who are suffering from such disease can be benefitted with this, never give off the hope every thing will be okay, hope this information helps you take good care of your father.
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Anesthesiologist Dr. Manjeth Kumar G's  Response
Hello,
I have gone through your query and understand your concern.

First thing is At this age he can not tolerate the Stem cell transplant with aggressive chemotherapy ( One which started recently).

Second thing is age ≥ 60 years is a statistically significant poor prognostic factor for complete remission , overall survival , remission duration, and relapse-free survival.

Further if he have any medical conditions like diabetes, coronary heart disease or chronic pulmonary obstructive disease may worsen him.

AML is also now in advanced stage.

My opinion is he is not a fit candidate for Stem cell transplant.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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What Is The Treatment For 77year Old Suffering With Acute Myeloid Leukemia?

HI Thank for asking to HCM I can better understand your concern for your uncle, what ever he is on is the only option remained for him, no one can say that this is last attempt, natural remission is the golden chance and every patient who are suffering from such disease can be benefitted with this, never give off the hope every thing will be okay, hope this information helps you take good care of your father.