Sir actually my mother diagnosed with B- ALL and now she is admitted at cancer hospital at Jaipur under the guidance of Dr. She is in induction phase of chemotherapy (just got 15 days treatment) n in her csf report. There are some blast cell also. So I want a personal opinion from you sir. That what should I do.in such situation. In mid of treatment. please help me sir. I am also a doctor and I wan your help sir.

Dr. Saroj Prasad PandaOncologist7yrs exp

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Blasts in CSF is not a rare finding in B ALL. Majority of them get with cured with treatment, though there is a slightly increase risk of CNS relapse in such cases. Your mother will receive little high doses of chemotherapy along with particular drugs which have a higher CNS penetration and intrathecal injections. She may require radiotherapy to brain too. CSF needs to be tested for blasts during subsequent intrathecal injection till it becomes negative.  

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