The second patient was a 49 year old man who was referred to clinic because of Macrocytic Anemia and low Retic count and he underwent BMA and BMB because of Anemia continuity and has diagnosed as MDS in BMA (, ).\nDuring follow up period, patient required blood injection once each 15 days, so thalidomide was started for him. He had frequent infections because of leukopenia and had a history of hospitalization. During follow up period and after 1.5 months of thalidomide initiation and 9 months later, he was affected by colon cancer and had no problem in CBC diff. after treatment of colon cancer.
The first patients was a 27 year old female who has been referred because of Anemia and Leukopenia and during follow up due to Anemia continuity and refractory anemia, she underwent BMA and BMB and had MDS criteria ().\nBesides repeated blood injection along with supportive and therapeutic measures she had been followed up and during a 7 month period, she had a surgery because of Breast mass and she was diagnosed as breast cancer. Patient underwent chemotherapy and Anemia and Cytopenia has been completely resolved after the completion of treatment.