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← Return to MRD increase after SCT
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@loribmt
Lori - I’m kgneal’s mom. There were extra stem cells remaining after my husband’s transplant that Mayo said they would store. Can those be used if Mayo decides to do the DLI? Is that a procedure that can be scheduled fairly soon after the Bone Marrow Biopsy and consultation? Is DLI an outpatient procedure?
Thank you!
Replies to "@loribmt Lori - I’m kgneal’s mom. There were extra stem cells remaining after my husband’s transplant..."
@glgrady1015 it can be assumed the “extra” cells were saved just in case a DLI was needed.
My husband needed a DLI six months after transplant due to incomplete chimerism. There were no cells left over after transplant so our anonymous donor was very kind and donated again. What a blessing.
The DLI was a tiny amount of material and was done quickly as an outpatient procedure, but we did need to come back the next day to get bloodwork and see his transplant doc.
The DLI was successful and he achieved complete chimerism within two months. He did develop some GVHD at that point, but it was closely monitored and well managed by the team.
Best of luck to you and your husband. Every day is a wonder for us, and may you have many many good ones ahead.
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Hi @glgrady1015 My doctor also reserved cells from my BMT at Mayo-Rochester. I believe that was done in the event that if I needed a DLI, the cells would be available but I never used them.
Since I didn’t have that procedure done, I’m going to tag member @dwolden. Her husband had a DLI at Mayo-Rochester about 6 months after his SCT there. I’m sure she’ll be able to give a little rundown of the procedure for you and your husband. I would expect the procedures are the same at all of the Mayo campuses.
From reading through the reply by your daughter you have quite a trek to Phoenix from Oklahoma. So I can understand wanting to know how soon an appt could be scheduled for the DLI following the bone marrow biopsy (BMBX) to avoid a lengthy stay in Phoenix. Results from the bone marrow biopsies can take a week to 10 days, even at Mayo where results for other tests are usual immediate. But there are several parts to the BMBX which can take several days. However, the blood work might be enough to give the your husband’s transplant doctor a direction as to whether the DLI is required or not.
It’s perfectly ok to ask questions of the BMT team on the portal. At least from my experience, questions regarding my health were always answered quickly. So don’t hesitate to ask his doctor or team what the schedule may look like ahead so you can plan. Mayo is notoriously very accommodating and respectful of patient time and travel needs.
Do you fly into Phoenix or travel by car?