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The blast count is very important and is a key determination in the diagnosis of RAEB-2 (refractory anemia excess blasts). The "2" refers to blast percentage between 10-20 percent. Anything over 20 percent is usually referred as AML. The peripheral blasts are immature white cells that are circulating in the blood and that is not normal. Most patients with AML have too many immature white cells in their blood, and not enough red blood cells or platelets. The blasts are generally determined in the bone marrow from a BMB. I would think, given what you have said about no BMBs that they should be testing for the peripheral blasts every time he has a blood test.
The only thing I can think is that perhaps the diagnosis isn't RAEB-2. If it were RAEB-2 they (the doctors) should be acting much more aggressively.
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age 70, dx RAEB-2 on 11-26-2013 w/11% blasts. 8 cycles Vidaza 3w/Revlimid. SCT 8/15/2014, relapsed@Day+210 (AML). Now(SCT-Day+1005). Prepping w/ 10 days Dacogen for DLI on 6/9/2017.
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