Chronic Myelomonocytic Leukaemia

Hello again, I’ve been absent from this forum for a long time as I found that there are other forums that are better suited for blood cancers. So time for an update on my partner. He’s been getting chemotherapy for his CMML and will soon start his 7th round of Azacitidine, he has been offered a bone marrow transplant and has a match but I don’t think he’s going to have this after being frightened off it. I’m clinging to the hope that the chemotherapy will suppress his cancer for as long as possible but he is symptomatic and has regular blood in his snot and has had some nose bleeds. His bone marrow is not producing platelets and he is having platelet transfusions weekly as his platelet count drops as low as 4. He was put on a very expensive medication that the doctor hoped would help him to produce more of his own platelets but it didn’t work.

it’s now time that he had another bone marrow biopsy in my opinion as we need to know what his blast count is now, if it’s going up he needs to get the bone marrow transplant as we were told it’s the only possible cure for CMML. If not he will possibly be sealing his own fate and I’m terrified of that happening.

he has said that he will fight this war but he’s taking the easiest options.

  • Hello 33Archersmate, 

    It's lovely to hear from you again and thank you for coming back here and updating us on your partner. I hope that the chemotherapy treatment is going well and well done for starting his 7th round of Azacitidine. It's so difficult sometimes to know what treatment decisions to make and it's great he found a match for the bone marrow transplant but I can understand this is a hard step to take and that it can seem a little frightening but it is worth perhaps discussing all his options thoroughly with his medical team and don't hesitate to ask any questions so that he has all the information at hand before making a final decision. Our website has a section on chronic myelomonocytic leukaemia (CMML) and you will find there information on tests and treatment for CMML and if you have any questions or there is anything you wish to discuss, don't hesitate to ring our cancer nurses on this free number 0808 800 4040 - their line is open Monday to Friday from 9am to 5pm. 

    It's a shame that the expensive medication didn't work and I hope that they will manage to keep making sure that the platelets don't drop too much and that he will have that bone marrow biopsy. You seem to be doing a great job at keeping an eye on things and making sure all possible options are considered so that he has explored all possible weapons to fight this war. Have a look too at our page on coping with CMML  where you will find some valuable tips as well as a list of organisations that also offer help and support. 

    I've also had a little look around the forum for you to find other members who have been affected by CMML and I noticed that just today  posted this thread about a friend who was recently diagnosed and  was also in a similar situation last year and posted this thread about CMML treatment options they were considering at the time. Don't hesitate to respond if you wish to and I hope that you will be able to connect here with others who have faced similar difficult choices for CMML. 

    Wishing you the best of luck making the right decision and keep us updated if you don't mind on how things progress for you and your partner. 

    Best wishes, 

    Lucie, Cancer Chat Moderator