Ask about leukaemia

Ask Caroline, a Macmillan Nurse working with people who have Leukaemia, Myelodysplasia and Myeloproliferative diseases. She'll aim to respond within 2 working days.

Acute myeloid leukaemia

Posted by

Hi I am about to have my third bone marrow biopsy and I’m a little worried as this one will apparently decide if I have four chemo sessions or three and a stem cell transplant. 

Which is the best option and what should I be hoping for? 

Caroline- Macmillan

Hi there Moskik,

The monitoring of disease levels after every course is a fairly new thing- inspired by the benefits that it gave in treatment decisions for other types of leukaemia. Both treatment paths have their minefields. The taking of the bone marrow will aid the consultant in deciding the best direction to take for your disease.

There is no best option overall, every decision on your treatment will be made on clinical information gained in these biopsies. I know this answer looks like i am side stepping the issue, but i cant give  you any more information until you have your results. I also do not have all your blodd tests etc. Why not make an appointment with your CNS to discuss your individual options? Or come back to me when you have some more info.

The short answer is, the best option for YOU is the one that cures your disease. I hope this helps. 

Caroline - Macmillan  Information Nurse Specialist

Remember you can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or by email.