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 sixth patient was a 52 year old male who had referred to clinic because of pancytopenia including thrombocytopenia and anemia and leukopenia and demonstrated MDS criteria in BMA. For this patient initiated nutrition drug but no needed to transfusion.\nDuring a 20 month follow up period, no considerable progression in MDS observed and he underwent treatment because of gastric cancer and after the end of treatment, his blood disorders totally resolved.