Which specialist consultations are beneficial to patients with pediatric acute myelocytic leukemia (AML)?

Updated: Sep 12, 2017
  • Author: Mark E Weinblatt, MD; Chief Editor: Jennifer Reikes Willert, MD  more...
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Answer

Consider consulting a urologist when male teenagers are undergoing intense chemotherapy that may cause oligospermia and fertility problems in the future. These conditions are usually temporary. However, they are particularly problematic for patients who undergo high-dose chemotherapy in preparation for blood or marrow transplantation, and they are major problems for patients who may be receiving total-body irradiation. Encourage sperm banking, preferably before these patients begin any treatment that may affect the quality of their sperm.

Patients and their families may experience major stresses as a result of intense treatment and frequent, prolonged hospitalizations for chemotherapy and its resulting complications (especially in patients undergoing stem cell transplant). Another stressor is the real possibility of life-threatening complications. Psychological support, with educational information and numerous meetings and updates, are important for the family's psychological well-being.


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