Conversation: The conversation between human and AI assistant.
[|Human|] i have accute myloid leukeamia and am in remmission. i could only get 2 treatments of chemo as i got an infection after the first and nearly died and i took 8 weeks to recover from the second one. i am now getting the same pain in the groin area so can you get this pain in the left lymph node without it being the leukeamia. i turned down the bone marrow transplant as they didnt have a perfect match and the death rate was too high from getting stem cell transplantation
[|AI|]  The presence of pain usually rules out malignancy. The leukemia may recur as a lymph node swelling and not as a pain. As the leukemia is a disease of blood cells, it usually recurs as a presence of blasts(abnormal cells) in peripheral blood smear or bone marrow. If your peripheral smear and bone marrow are in remission, it has nothing to do with recurrence of leukemia. But the pain may be due to the thrombosis of the deep veins of leg, which should be diagnosed with Doppler examination of lower limbs. Planning transplant means you may be having unfavorable cytogenetics. If you don't have a perfect match for transplant, you can ask for MUD(matched unrelated donor) transplant or umbilical cord stem cell transplant. You need to discuss with your hematologist for these options.