NCCN Guidelines for Patients® | Acute Myeloid Leukemia

33 NCCN Guidelines for Patients ® : Acute Myeloid Leukemia, 2018 4  Treatment guide: Non-APL AML Overview is sometimes done if the leukemia is likely to return after treatment. You may have a lumbar puncture before consolidation. The removed spinal fluid will be tested for blasts. Your doctor may order this test based on your pre-treatment white blood count, leukemia subtype, and other factors. Some types of consolidation may be harmful to your heart. Before treatment, your doctor may test how well your heart is working. You may receive treatment for your heart, too. Maintenance For some people, maintenance is the final phase of treatment. The goal is to prolong the good results of prior treatment. Treatment may be received for years. Surveillance Surveillance is a period of testing that is started after consolidation. A CBC every 1 to 3 months for 2 years is advised. Then, it should then be repeated every 3 to 6 months for 3 more years. If results aren’t normal, bone marrow tests may be needed. Relapse For some people, the leukemia may return. This is called a relapse. The goal of treatment is to achieve remission again. You may receive treatment to prevent the blasts from spreading to your brain and spine. Bone marrow biopsies are not fun. I was glad when I hit 5 years and didn't need to do them again. I see my oncologist once a year now. She's been with me for 15 years and we are glad to celebrate my good health together. – Rhonda Cancer survivor Diagnosed at age 29 “