Anyone else have Clonal Cytopenia of Undetermined Significance (CCUS)?

Posted by j68eis @j68eis, Sep 24, 2023

Last bone marrow biopsy revealed a couple of gene mutations in the KM2TC And ASXL1

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

Profile picture for Lori, Volunteer Mentor @loribmt

Hi @nigel7 and welcome to Connect! So glad you dropped into the conversation to share your experience with CCUS.

I can sure appreciate your desire to learn as much as you can about the condition. So it’s a good question about whether or not it’s worth the cost of having next generation sequencing panels run. It’s difficult to know if the results would give any valuable information vs the cost. It often helps to have a sounding board, so hopefully other members will share their opinions on NGS.

I recently read an article on CCUS that I bookmarked. You might be interested in read it too. Here’s the link to AHS Publications article on CCUS: To treat or not to treat. https://ashpublications.org/ashclinicalnews/news/6306/clonal-cytopenia-of-unknown-significance-to-treat

Have you discussed the usefulness of having an NGS done at this time with your hematologist?

Jump to this post

@loribmt my oncologist here in Oklahoma sent me to Mayo in 2021 to find out why so many of my counts kept dropping. As a result I had bone biopsy and NGS there and they discovered the mutations and I was diagnosed with CCUS. As a result of that my original oncologist (who still monitors me in conjunction with Mayo) now tests ALL of her patients using NGS to great success. I’m so fortunate to have such amazing doctors.

REPLY
Profile picture for tdancer628 @tdancer628

I have CCUS with only the TET2 mutation, but with a VAF of 86%. Low white blood cells. No anemia. My blasts are only at 2%. Started in 2020 just after a bad bout with COVID. I wear masks a lot, wash hands a lot and follow a neutropenic diet. I have found YouTube recordings from the Healthtree and MDS Foundations to be very helpful to understand the situation. Vanderbilt has a biorepository for CCUS and CHIP folks (CHIVE) I am starting to feel tired and have night sweats. Have seen one clinical trial for CCUS, but the medicine has a side effect of lowering white blood cells. Wish there was something to do for it.

Jump to this post

@tdancer628 do you have multiple tet2 mutations?

REPLY

only one, and I do not have any other ones. I have CCUS - really low white blood cell count and low ANC. My VAF on the TET2 mutation is very high at 86 at the last BMB in January.

REPLY
Profile picture for mooco3 @mooco3

@tdancer628 do you have multiple tet2 mutations?

Jump to this post

Hi @mooco3 Welcome to Mayo Connect. We have a great community here where other members with similar medical conditions can ‘connect’ with each other! Since you tagged member @tdancer628 regarding mutations for CCUS, were you also diagnosied with CCUS (Clonal Cytopenia of Undetermined Significance)?

REPLY
Profile picture for Lori, Volunteer Mentor @loribmt

Hi @mooco3 Welcome to Mayo Connect. We have a great community here where other members with similar medical conditions can ‘connect’ with each other! Since you tagged member @tdancer628 regarding mutations for CCUS, were you also diagnosied with CCUS (Clonal Cytopenia of Undetermined Significance)?

Jump to this post

@loribmt hello, my dad has been

REPLY
Profile picture for mooco3 @mooco3

@loribmt hello, my dad has been

Jump to this post

Hi @mooco3 Was your dad just recently diagnosed with CCUS? If so you probably have several questions. If you haven’t already, it might be very helpful for you to return to the beginning of this discussion. As you read through some of the replies, you’ll see several links to articles that are good tutorials.
There’s also this one from dovemed.com
https://www.dovemed.com/diseases-conditions/clonal-cytopenia-undetermined-significance
How is your dad feeling? Have his doctors discussed a possible treatment plan for him or is he just in active surveillance for his condition?

REPLY

I have been a member for a while but do not post usually. I also do not know who to reply without it going to the entire group.

REPLY
Profile picture for tdancer628 @tdancer628

I have been a member for a while but do not post usually. I also do not know who to reply without it going to the entire group.

Jump to this post

Hi @tdancer628
If you want to send a private message to someone, simply click on the person’s avatar (where the photo should be on the left side of the reply). This should take you to their profile page. Under the ‘picture’ you’ll see “send private message”.
Click there and you’ll get the prompt to type your message to that person. Let me know if you need help, ok?

REPLY
Profile picture for tdancer628 @tdancer628

I have been a member for a while but do not post usually. I also do not know who to reply without it going to the entire group.

Jump to this post

@tdancer628 sent you a private message

REPLY
Profile picture for Lori, Volunteer Mentor @loribmt

Hi @mooco3 Was your dad just recently diagnosed with CCUS? If so you probably have several questions. If you haven’t already, it might be very helpful for you to return to the beginning of this discussion. As you read through some of the replies, you’ll see several links to articles that are good tutorials.
There’s also this one from dovemed.com
https://www.dovemed.com/diseases-conditions/clonal-cytopenia-undetermined-significance
How is your dad feeling? Have his doctors discussed a possible treatment plan for him or is he just in active surveillance for his condition?

Jump to this post

@loribmt blood tests every 3 months

REPLY
Please sign in or register to post a reply.