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Doctors for treatment of Osteomyelofibrosis

More than 30 doctors of different specialties and directions ready to help you
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Viola Fox
Germany, Solingen
Total work experience: 14 years
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Panayotis Kaloyannidis
United Arab Emirates, Abu Dhabi
Total work experience: 27 years
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Alessandro Aiuti
Italy, Milan
Total work experience: 25 years
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Manas Kalra
India, Delhi
Total work experience: 23 years
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Vikas Dua
India, Delhi, Gurgaon
Total work experience: 18 years
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Kang Hyoung Jin
Republic of Korea, Seoul
Total work experience: 21 years
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Betul Tawil
Turkey, Ankara, Antalya, Istanbul
Total work experience: 28 years
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Yasemin Altuner Torun
Turkey, Ankara, Istanbul, Samsun
Total work experience: 27 years
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Total work experience: 39 years
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10 doctors of 30 Show more

Frequently Asked Questions

1
what are the symptoms of osteomyelofibrosis
  • Weakness,
  • Bleeding and long-term wound healing,
  • Left abdominal pain and enlarged spleen,
  • Decreased vision,
  • Decreased appetite,
  • The appearance of fluid in the abdominal cavity,
  • Edema of the lower extremities,
  • Changes in the blood test
1
What are the complications of osteomilofibrosis
  • Kidney stone disease,
  • Pyelonephritis,
  • Nephrosclerosis,
  • Gout,
  • Bleeding,
  • Development of acute myeloid leukemia
1
Why do patients often choose osteomyelofibrosis treatment abroad
  • This is a very rare pathology, occurs in approximately 1: 100,000 people. Therefore, it is better to treat it in specialized centers, since most doctors (both diagnosticians and clinicians) do not have clinical experience in the treatment of osteomyelofibrosis.
  • The success rate of bone marrow transplantation in the hematology departments of Turkey, Germany, Israel and Spain is ten times higher than in the CIS.
  • If additional methods of treatment are required, techniques are used that are not available in the domestic space — operations on the Da Vinci robot, which is much less traumatic than open and laparoscopic surgical interventions, proton therapy as a more effective and safe alternative to radiation therapy, and so on.

Methods of diagnosis and treatment of osteomyelofibrosis according to the world standards of 2021

How to diagnose osteomyelofibrosis
  • The first diagnostic procedure is a general blood test, which most often
    determines changes in the number of red blood cells and platelets.
  • Then a trepanobiopsy is performed (this is a type of biopsy in which a column ofcells is taken from the desired area, after which it is prepared accordingly andexamined under a microscope) of the bone marrow with molecular and cytogenetic studies of the material taken. V617F mutations of the JAK2 (in ≈60 %), CALR (in 25-35%), and MPL(in 4-8%) genes are studied.

Instead of a diagnosis of «osteomyelofibrosis», they may be mistakenly diagnosed with

  • Acute leukemia,
  • Multiple myeloma,
  • Hodgkin`s disease,
  • Chronic benzene poisoning
What are the modern methods of treatment of osteomyelofibrosis in modern
foreign clinics
  • The only option in which the patient can achieve a complete cure is
    allotransplantation (transplantation from a donor) of bone marrow.
  • As auxiliary methods, experienced doctors use the targeted drug ruxolitinib, as well as hydroxyurea, melfan, busulfan, cladribine or human interferon, sometimes they also perform splenectomy.
    Also, in parallel with the main treatment, doctors conduct symptomatic treatment of anemia, pain syndrome, thrombocytopenia and other possible complications.
  • Some patients can be left under observation without special treatment. Health assessment is carried out using special scales for patients with low — risk osteomilofibrosis-IPSS, DIPSS or DIPSS plus.

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