Dr Rahul Bhargava

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

Myelofibrosis

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Frequently Asked Questions (FAQ) :

Myelofibrosis risk factors include age (over 50), genetic mutations, exposure to certain chemicals, and a history of other blood cancers.

While the genetic mutations associated with myelofibrosis are not typically inherited, a family history of blood disorders may increase the risk.

The only potential cure for myelofibrosis is a stem cell transplant, though not all patients are suitable candidates. Other treatments focus on managing symptoms.

For patients who cannot undergo a transplant, treatment usually includes medications to manage symptoms and improve quality of life.

India offers world-class healthcare facilities with experienced specialists like Dr. Rahul Bhargava. The cost-effectiveness, coupled with advanced medical care, makes it a favorable option.

About :- 

Myelofibrosis is a rare type of bone marrow cancer that disrupts the body’s ability to produce blood cells effectively. The bone marrow, which is responsible for producing blood cells, becomes scarred and fibrous, leading to severe anemia, fatigue, and other life-threatening complications.

Causes :- 

Genetic mutations in the JAK2, CALR, and MPL genes.

Abnormal stem cell proliferation in the bone marrow.

Progression from other myeloproliferative disorders such as polycythemia vera or essential thrombocythemia.

Environmental factors like exposure to certain chemicals or radiation (less common).

Aging, as the risk of developing myelofibrosis increases with age.

Types of Myelofibrosis

Myelofibrosis can be classified into two main types:

  1. Primary Myelofibrosis (PMF): This occurs when the disease develops on its own without any prior condition.
  2. Secondary Myelofibrosis: This form develops as a progression from other blood disorders like polycythemia vera or essential thrombocythemia.

Symptoms of Myelofibrosis

The symptoms of myelofibrosis can vary widely and may develop slowly over time. Common symptoms include:

  • Fatigue: Due to anemia.
  • Shortness of Breath: Linked to reduced red blood cells.
  • Night Sweats and Fever: Common in cancer-related conditions.
  • Bone Pain: As the marrow becomes fibrous.
  • Splenomegaly (enlarged spleen): Causing discomfort and fullness in the abdomen.
  • Easy Bruising and Bleeding: Due to low platelet counts.

Diagnosis of Myelofibrosis

Diagnosing myelofibrosis involves a series of tests and procedures:

  • Blood Tests: To check for abnormal levels of blood cells.
  • Bone Marrow Biopsy: A sample of bone marrow is examined for fibrosis or scar tissue.
  • Genetic Testing: To identify mutations in the JAK2, CALR, or MPL genes.
  • Imaging Tests: Such as MRI or CT scans to assess organ enlargement, particularly the spleen.

Treatment Options for Myelofibrosis

Treatment for myelofibrosis aims to manage symptoms, slow the progression of the disease, and improve the patient’s quality of life. The treatment options include:

  1. Blood Transfusions: For managing severe anemia.
  2. Stem Cell Transplant: The only potential cure for myelofibrosis, suitable for younger patients or those with aggressive disease.

Radiation Therapy: To reduce spleen size or treat bone pain.

Cost of Treatment and Stay in India

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