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Advice re slow engraftment

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Looking for advice:

On day 55+ post a non myelo-ablative transplant for CLL (conditioning

was FCR), my engraftment has not changed much since checked at day

30+. I am 64% donor T cells ( I was 62%), but my monos have dropped

from 40% donor to 25% and my granulocytes are essentially unchanged

at 27% donor. Peripheral blood in 28% donor compared to 32% last

month. Really very little statistical change in the last 25 days. My

flow cytometry shows no CLL in my blood. My HCT and platelets are

stable and I am not neutropenic. Except for fatigue, I am doing well.

No GVH. Never had any blood products as my lowest HCT was 10.5 and my

lowest platelets were 160,000. No TPN in hospital. Almost too easy. I

guess I can worry about anything.

Has anyone else had such a slow and gentle engraftment? My doctor

isn't too worried, but is withholding judgement until he assesses my

bone marrow and I get a CT next month.

Thanks

, 57 yr. family doc & father of 4, dx 9/05 del 11q unmutated,

CD38+, ITP 9/06 eventually failed steroids, IVIG , Rituxan and

splenectomy controlled w cyclosporin A Rituxan combo. CLL in old

school CR. RIC MUD HSCT July 1/08 doing well see http://bkoffman.blogspot.com/

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