Hi Melody,

  I am really sorry you may have developed T-cell lymphoma.   A study
was done by French doctors on Gleevec patients who took Gleevec after
receiving Interferon  and in those patients, there was a 3% increased
incidence of secondary cancers but the only cancer the doctors found
that occurred above the rate for a normal population was the increased
incidence of prostrate cancer in males.  However, other doctors have
criticized this article saying that the patient cohort was above age 50
when prostrate cancer can occur in the normal population.  There have
been no studies on the development of secondary cancers in first-line
Gleevec patients.  However, from rat studies, it was found that rats on
Gleevec could develop urogenital tract and kidney cancers.  However,
Novartis from their Gleevec clinical trials have not found any
increased incidence of these cancers in Gleevec patients over and above
the normal population.

  Dr. Druker, however, advises urinalysis at 6 monthly intervals for
Gleevec patients just to be on the safe side.  And though my husband is
44 years of age, based on this French study, I have asked our doctor if
he would check his prostrate surface antigen (PSA) levels and he
recommended testing PSA levels every year.

  So, there has been no reported incidence of lymphoma occurence in
Gleevec patients from the literature.  However, I do know a young
patient 29 years old, female, who did develop Non-Hodgkin's lymphoma
during Gleevec therapy.  She always had very low counts on Gleevec.
Last I heard, she was receiving concomitant treatment for NHL and was
on the BMS drug because Gleevec was no longer working for her.

  It will be a good idea to talk to Dr. Druker.  He does answer
personal e-mails.  His e-mail is:
[EMAIL PROTECTED]

  The article that studied secondary cancers in 2nd line Gleevec
patients is to be found in Leukemia journal.

Leukemia (2005) 19, 1689?1692. doi: 10.1038/sj.leu.2403874;
published online 14
July 2005

Unexpected occurrence of second malignancies in patients treated
with interferon
followed by imatinib mesylate for chronic myelogenous leukemia
L Roy, J Guilhot, G Martineau, R Larchée and F Guilhot

1.. Department of Oncology-Hematology and Cell Therapy, Clinical
Research
Centre, Poitiers, Cedex, France
Correspondence: Professor F Guilhot, Department of Oncology-
Hematology and Cell
Therapy, CHU La Milétrie, 2 Rue de la Milétrie, 86021 Poitiers,
Cedex, France.
Fax: +33 5 49 44 38 63; E-mail: [EMAIL PROTECTED]

Received 03 April 2005; Accepted 10 June 2005; Published online 14
July 2005.

I wish you all the best in the treatment of CML and T-cell lymphoma.
Have you had tests to show if the Gleevec is working?  Any FISH or PCR
tests?

Best Wishes,
Anjana
caregiver to Roy


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