Your doctor can provide individualized guidance on diet and water intake. Your prognosis with PV depends largely on whether you get treatment. Treatment helps reduce your risk of life-threatening complications, such as:. These complications from PV are possible even with treatment, but the risk is much lower. For people with PV, just 5 to 15 percent have typically developed myelofibrosis 15 years after diagnosis. And less than 10 percent have typically developed leukemia 20 years after diagnosis.
Overall, people who receive treatment have a much better outlook than those without it. In addition, taking care of yourself and your overall health can lower your risk of blood clots from PV. Quitting smoking, staying physically active, and managing other health conditions you have, such as diabetes , high blood pressure , and heart disease , can also improve your outlook. Learn more about polycythemia vera prognosis. But many people who stick to their treatment plan and see their hematologist regularly can expect to live a long life with limited complications.
Treatment is critical. People without any treatment can typically expect to survive less than two years , depending on age and overall health. But those who have treatment can live several more decades. The average length of survival after diagnosis is at least 20 years, and people can live for decades longer. Learn more about polycythemia vera life expectancy. Polycythemia vera is a rare blood disease that increases your risk of dangerous blood clots and other complications. If you have polycythemia vera, talk to your primary care doctor or hematologist about the right treatment plan for you.
This will likely include phlebotomy and medications. Getting the care you need as soon as possible can help prevent blood clots, decrease complications, and improve the quality and length of your life. Polycythemia vera PC may not be discovered until you visit your doctor for another reason. If your doctor suspects you have PV, they will probably…. Polycythemia vera PV is a rare form of blood cancer. These tests also show whether your bone marrow is making normal amounts of blood cells.
The two bone marrow tests are aspiration as-pi-RA-shun and biopsy. For aspiration, your doctor removes a small amount of fluid bone marrow through a needle. For a biopsy, your doctor removes a small amount of bone marrow tissue through a larger needle. The samples are then examined under a microscope.
If the tests show that your bone marrow is making too many blood cells, it may be a sign that you have PV. Signs and Symptoms How is Anemia Diagnosed?
How is Anemia Treated? How Can Anemia Be Prevented? How is Antiphospholipid Antibody Syndrome Diagnosed? How is Antiphospholipid Antibody Syndrome Treated? Who is at Risk for Aplastic Anemia?
What are the Signs and Symptoms of Aplastic Anemia? How is Aplastic Anemia Diagnosed? How is Aplastic Anemia Treated? Diagnosing Deep Vein Thrombosis? Who is at Risk for Disseminated Intravascular Coagulation? How is Disseminated Intravascular Coagulation Treated? Who is at Risk for Fanconi Anemia? What are the signs and Symptoms of Fanconi Anemia? They may also perform a bone marrow biopsy. A diagnosis of PV is usually not the result of a physical exam. But your doctor may observe symptoms of the disease during a routine visit.
Some physical symptoms your doctor may recognize are bleeding gums and a reddish hue to your skin. A CBC measures the number of red and white blood cells and platelets in your blood. It will also tell your doctor what your hemoglobin level is in your bloodstream. Hemoglobin is a protein rich in iron that helps red blood cells carry oxygen from the lungs to the rest of the body. And if you have PV, your hemoglobin level will be elevated.
Usually, the more red blood cells you have, the higher your hemoglobin level. In adults, a hemoglobin level greater than A CBC will also measure your hematocrit. If you have PV, a higher-than-normal percentage of your blood will be made of red blood cells. In adults, a hematocrit greater than 48 percent in women or greater than 49 percent in men can indicate PV, according to the World Health Organization.
A blood smear looks at your blood sample under a microscope. J Clin Oncol. Falanga A, Marchetti M. N Engl J Med. Dr Bose reviews strategies for actively monitoring blood counts and assessing symptoms in patients with PV in a community-based setting. Elevated red or white blood cell counts may increase thrombotic risk and require active monitoring.
This page is for US healthcare professionals only. Polycythemia Vera Diagnosis and Clinical Considerations. Diagnostic Criteria Polycythemia vera PV may develop slowly and remain unrecognized for years. Major criteria:.
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