Dr. David Dingli is a hematologist oncologist practicing in Rochester, MN. Dr. Dingli specializes in the diagnosis, treatment and prevention of blood diseases such as anemia, hemophilia, sickle-cell disease, leukemia and lymphoma. Hematologist Oncologists are also trained in the study of cancer and its attack on other organs.
Education and Training
Univ of Malta, Med Sch, Guardamangia, Malta 1992
University Of Malta, Faculty Of Medicine and Surgery 1992
University of Malta Faculty of Medicine and Surgery 1992
Internal MedicineAmerican Board of Internal MedicineABIM
Dr. David Dingli M.D.'s Expert Contributions
By definition CML is a systemic disease since it arises in the bone marrow that is in multiple areas of the body. Most patients at diagnosis are in chronic phase although there are various parameters that we look at to determine risk stratification. First like therapy is with a class of drugs known as tyrosine kinase inhibitors such as imatinib or nilotinib. Generally well tolerated, although they can cause some edema, rash, diarrhea and less commonly heart problems or pancreatic inflammation. READ MORE
There is no universal answer to this question. Therapy depends on the type of lymphoma, its stage, and the functional state of the person and any comorbidities that the patient may have. It is difficult to be more specific in the absence of more information. READ MORE
Leukemic cells travel in the blood and they can in principle invade other tissues. Depending on the type of leukemia, the cells may go to the liver, spleen and/or lymph nodes or even other organs. Leukemia is not one disease and it is difficult to be very specific unless has a detailed knowledge of the patient and her condition. READ MORE
Gum issues may or may not be related to leukemia. It could just be poor mouth hygiene, or an infection with some viruses that can cause stomatitis. It could be due to medications or the leukemia itself. The patient needs to be seen. READ MORE
I am sorry to hear about this. Personally, I do not treat children with cancer but to my knowledge, lymphoma in children is treated with chemotherapy and it may be highly effective. READ MORE
The rash could be due to low platelets that cause putouts typically on the legs especially shins. Purpura does not hurt or itch and if you press the lesions they do not disappear showing this is blood under the skin. Other causes of rash could be a drug effect or infection. Rarely leukemia can affect the skin and cause a rash but this would not be a common feature. Hope this helps READ MORE
A person may have a reaction to a platelet transfusion with fever, chills, rash, or even shortness of breath. If the person has antibodies against platelets, the benefit of the transfusion may be limited and the rise in the platelet count may be small and perhaps that is what is being asked here. However, there could be other reasons of why the platelet count does not improve after a platelet transfusion. Hope this helps. READ MORE
- Acute Myeloid Leukemia (aml)
- Multiple Myeloma
- Extra Corporeal Shockwave Therapy
- Mayo Grad Sch Med/Mayo Fndn, Hematology/Oncology; Mayo Grad Sch Med/Mayo Fndn, Internal Medicine
- Mayo Grad School Med 1994
- Mayo Clinic College of Medicine (Arizona) Program
Dr. David Dingli M.D.'s Practice location
Rochester, MN 55905Get Direction
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- Treatments for Multiple Myeloma
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