Treatment FAQ

what is mds after breast cancer treatment

by Jarred Bailey Published 2 years ago Updated 2 years ago
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Background: Therapy-related myelodysplastic syndrome (t-MDS) is a serious clinical disease occurring after breast cancer treatment.

What is the treatment for MDS?

Treatment is based on the type of MDS, MDS risk group and other factors, as well as your age and overall health. Often more than one type of treatment is used. Doctors plan each person’s treatment individually to give them the best chance of treating the tumor while limiting the side effects as much as possible.

Can chemotherapy cause Secondary MDS?

Some of the drugs that can lead to MDS include: The risk of secondary MDS varies based on the type and doses of drugs. It might also be affected by the type of cancer the chemo is treating. Combining these drugs with radiation therapy increases the risk further.

What is MDS with excess blasts (MDS-EB)?

MDS with excess blasts (MDS-EB): An increased number of blasts in the bone marrow, blood, or both with low numbers of one type of blood cell or more. An individual may have severe dysplasia in the bone marrow. Doctors further divide this diagnosis into two types based on blasts:

What is the prognosis of MDS?

MDS is a type of cancer. MDS damages some of the blood forming cells in the bone marrow, leading to low counts of one or more types of blood cells. The outlook for MDS varies, depending on factors that include: the type of MDS

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How long can you survive with MDS?

Survival statistics for MDSIPSS-R risk groupMedian survivalVery low8.8 yearsLow5.3 yearsIntermediate3 yearsHigh1.6 years1 more row•Jan 22, 2018

Is MDS a serious condition?

Myelodysplastic syndromes (MDS) are a type of rare blood cancer where you don't have enough healthy blood cells. It's also known as myelodysplasia. There are many different types of MDS. Some types can stay mild for years and others are more serious.

What are the stages of MDS?

But myelodysplastic syndromes (MDS) are diseases of the bone marrow....Then the scores are added up to put people with MDS into 5 risk groups:Very low risk.Low risk.Intermediate risk.High risk.Very high risk.

What happens at the end of life for MDS?

Death from MDS is often caused by bleeding and/or infection from low blood cell counts or after the disease becomes acute myeloid leukemia (AML). About a third of patients with MDS develop AML. It is important to remember that statistics on MDS are an estimate.

How painful is MDS?

Leukemia or myelodysplastic syndromes (MDS) can cause bone or joint pain, usually because your bone marrow has become overcrowded with cancer cells. At times, these cells may form a mass near the spinal cord's nerves or in the joints.

How quickly does MDS progress?

The pace of progression varies. In some individuals the condition worsens within a few months of diagnosis, while others have relatively little problem for several decades. In about 50 percent of cases, MDS deteriorates into a form of cancer known as acute myeloid leukemia (AML).

Is MDS a terminal illness?

MDS is a form of bone marrow cancer, although its progression into leukaemia does not always occur. The failure of the bone marrow to produce mature healthy cells is a gradual process, and therefore MDS is not necessarily a terminal disease.

Can you live 20 years with MDS?

With current treatments, patients with lower-risk types of some MDS can live for 5 years or even longer. Patients with higher-risk MDS that becomes acute myeloid leukemia (AML) are likely to have a shorter life span.

How did I get MDS?

Most myelodysplastic syndromes have no known cause. Others are caused by exposure to cancer treatments, such as chemotherapy and radiation, or to toxic chemicals, such as benzene.

What causes death in MDS patients?

Death from MDS is often caused by bleeding and/or infection from low blood cell counts or after the disease becomes acute myeloid leukemia (AML). About a third of patients with MDS develop AML.

Can MDS affect the brain?

Conclusions: Patients with AML/MDS are highly symptomatic and experience cognitive impairment and fatigue before the initiation of their treatment.

Does MDS make you tired?

Chronic fatigue is the most common and severe symptom in myelodysplastic syndromes (MDS) and has a strong negative association with health-related quality of life (HRQoL).

How to cure MDS?

A stem cell transplant (SCT) is the only treatment that can cure MDS. SCT lets doctors use very high doses of chemo to kill cells in the bone marrow. The high doses of these drugs destroy the bone marrow, which keeps new blood cells from being made. Although the drugs destroy the bone marrow, stem cells given after the chemo can bring back the bone marrow. For people with MDS, these new stem cells come from someone else who donates some of their stem cells. There are different kinds of SCT, each of which can have bad side effects. Ask your doctor which type you will have and what to expect.

What blood cells are needed for MDS?

Normal blood cells. To understand MDS, it helps to know about all the types of blood cells. Red blood cells (RBCs) carry oxygen from the lungs to all other parts of the body. People without enough RBCs (called anemia) often feel tired or weak. White blood cells (WBCs) help the body fight infections.

What are the factors that determine the MDS score?

In MDS other factors like your age, blood counts, how the bone marrow looks, and changes in the bone marrow cells are used to give the MDS a score, which can help tell how likely it is to grow or be helped by treatment. Ask your doctor how your MDS will be scored and what that means for you.

Why is it so hard to work with MDS?

In MDS, some cells in the bone marrow don’t grow like they should, so there aren’t enough of some types of blood cells. This makes it hard for the body to work the way it should. Some people with MDS go on to get leukemia, a cancer of the bone marrow in which blood cells start to grow out of control.

What is a bone marrow biopsy?

Bone marrow aspiration and biopsy (ASP-er- AY -shun and BY-op-see): For these tests, a doctor uses thin, hollow needles to remove a little bit of bone marrow, most of the time from the hip bone. The area around the bone is numbed, and you may be given a drug to make you sleep during the test.

How do growth factors help with MDS?

Having too few blood cells causes most of the symptoms in MDS. Growth factors speed up the process of making blood cells in the bone marrow. The body makes growth factors, but they can also be made in a lab. Growth factors can be given (most of the time as injections under the skin) to help make more blood cells. Different growth factors can be used, depending on the case. Ask your doctor which kind of growth factor you may get and what to expect.

Where does myelodysplastic syndrome start?

What are myelodysplastic syndromes? Cancer can start any place in the body. Myelodysplastic syndromes , or MDS for short, are cancers that start in the bone marrow, the soft inner part of some bones where new blood cells are made. In MDS, some cells in the bone marrow don’t grow like they should, so there aren’t enough of some types of blood cells.

What kind of doctor treats cancer?

Based on your treatment options, you may have different types of doctors on your treatment team. These doctors could include: 1 A hematologist: a doctor who treats disorders of the blood 2 A medical oncologist: a doctor who treats cancer with medicines

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

Can you treat myelodysplastic syndrome with more than one treatment?

Often more than one type of treatment is used. Doctors plan each person’s treatment individually to give them the best chance of treating the tumor while limiting the side effects as much as possible. General Approach to Treatment of Myelodysplastic Syndromes.

Why do people develop MDS?

People with certain inherited syndromes are more likely to develop MDS. These syndromes are caused by abnormal (mutated) genes that have been passed on from one or both parents. Examples include:

Why does MDS occur more often than expected?

In some families, MDS occurs more often than would be expected. Sometimes this is due to a known gene mutation that runs in the family, but in other cases the cause isn’t clear.

What age is the most likely to get MDS?

Older age. Older age is one of the most important risk factors for MDS. MDS is uncommon in people younger than 50, and most cases are found in people in their 70s or 80s.

What are the risk factors for myelodysplastic syndrome?

Risk Factors for Myelodysplastic Syndromes. A risk factor is anything that changes your chance of getting a disease such as cancer. Different cancers have different risk factors. Some risk factors, like smoking, you can change. Others, like your age or family history, can’t be changed. But having a risk factor, or even several, ...

Does teniposide cause secondary MDS?

Teniposide. Doxorubicin. The risk of secondary MDS varies based on the type and doses of drugs. It might also be affected by the type of cancer the chemo is treating. Combining these drugs with radiation therapy increases the risk further.

Can stem cell transplants cause MDS?

People who have had stem cell transplants (bone marrow transplants) can also develop MDS because of the very high doses of chemo they received. Still, only a small percentage of people who are treated with these medicines will eventually develop MDS.

Is MDS a secondary disease?

When MDS is caused by cancer treatment it is called secondary MDS or treatment-related MDS.

What is MDS in medical terms?

Takeaway. MDS is a severe, chronic syndrome from which very few people successfully recover. It often progresses to AML, which is a form of leukemia. Depending on which scoring system a doctor uses, life expectancy can change, according to the progression of MDS.

What are the factors that affect the outlook of people with MDS?

Treatment for MDS depends on several factors, including the type of MDS, the individual’s age, and other health problems they may have. Those with a low risk of MDS becoming cancer may not need treatment at first.

Can MDS cause leukemia?

Progression to leukemia. About one-third of people with MDS will develop AML, which is cancer of the bone marrow. For this reason, doctors sometimes refer to MDS as preleukemia. People with more advanced MDS have a much higher risk of AML.

Can MDS cause anxiety?

Treating a chronic condition can be expensive, and mounting costs may add to the emotional difficulties that MDS can present. If a condition is tough to treat, it can lead to feelings of depression and anxiety. If these feelings develop during MDS treatment, people can look to possible support networks.

Can cancer treatment be stopped?

The side effects of cancer treatment can be severe. If a treatment is not improving blood cell counts, a person may choose to stop active treatment and focus instead on supportive care. MDS is a chronic disease, and so it is vital to make sure some form of insurance is available.

Can MDS be treated?

For most people, treatment cannot often cure MDS. Typically, there will be periods of intensive treatment with time to rest in between. Treatments may include: Supportive treatment: Options include blood transfusions, drugs to remove excess iron from the blood, growth factor drugs, and antibiotics.

Can bone marrow transplants cure MDS?

Of these options, a bone marrow transplant is the best chance for a person with MDS to cure the condition. However, many older adults are not eligible due to potentially life threatening side effects. The side effects of cancer treatment can be severe.

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