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Leukemia: Causes, Symptoms & Treatments

Leukemia is a type of cancer that affects the blood and bone marrow. It is one of the most common cancers in the United States, with approximately 61,000 new cases diagnosed each year. This disease can affect both adults and children, making it a significant concern for many. Understanding and know how to recognize this type of cancer is crucial. Diagnosing it sooner improves the chances of getting better.

Leukemia

Causes of Leukemia

Leukemia affects the blood and bone marrow, where blood cells are made. In this case, the body produces abnormal blood cells that grow and divide uncontrollably. These abnormal cells crowd out healthy blood cells, making it hard for the body to work properly. The two most common causes are genetic factors and exposure to high levels of radiation. Genetic factors mean that some people inherit changes in their DNA that increase their risk of getting leukemia. Exposure to high levels of radiation, such as from nuclear accidents or radiation therapy for other cancers, can damage the DNA in blood cells, leading to this type of cancer. Other causes include:

  1. Chemical Exposure: Contact with certain chemicals like benzene can increase the risk.
  2. Smoking: Tobacco smoke contains harmful chemicals that can cause mutations in blood cells.
  3. Previous Cancer Treatments: Chemotherapy and radiation therapy can sometimes lead to leukemia later in life.
  4. Certain Medical Conditions: Some genetic disorders, like Down syndrome, are linked to a higher risk of leukemia.
  5. Family History: Having a close relative with leukemia can increase the risk, though this is less common.

Are There Different Types?

There are different types of leukemia. This table gives an easy-to-read overview about the different types. It shows how quickly each type progresses, which blood cells are affected, the age group most commonly affected, and how many new cases are diagnosed each year in the United States. Note: These estimates provide a general idea of how common each type of leukemia is in the United States.

Type of LeukemiaProgressionAffected CellsMost Common Age GroupChance of Getting This Type in America
Acute Lymphocytic Leukemia (ALL)RapidLymphoid cellsChildrenAbout 6,000 new cases per year
Acute Myeloid Leukemia (AML)RapidMyeloid cellsAdults and childrenAbout 20,000 new cases per year
Chronic Lymphocytic Leukemia (CLL)SlowLymphoid cellsOlder adultsAbout 21,000 new cases per year
Chronic Myeloid Leukemia (CML)SlowMyeloid cellsAdultsAbout 8,500 new cases per year

Certain people are more at risk of getting this type of cancer. Older adults have a higher risk, especially for chronic types like CLL and CML, while children are most commonly affected by Acute Lymphocytic Leukemia (ALL). A family history of leukemia can increase risk, as can exposure to high levels of radiation from nuclear accidents or radiation therapy. People exposed to chemicals like benzene, found in gasoline and some industries, and smokers are also at higher risk. Additionally, individuals with certain genetic disorders, such as Down syndrome, or those who have undergone chemotherapy and radiation therapy for other cancers, are more susceptible to developing it.

Leukemia Symptoms

Symptoms to Recognize

Leukemia can be recognized by certain symptoms. The two most common symptoms are feeling very tired and getting infections often. These happen because this type of cancer affects the blood cells that help carry oxygen and fight infections. Other symptoms include:

  • Frequent bruising or bleeding, like nosebleeds or bleeding gums
  • Unexplained weight loss
  • Bone or joint pain
  • Swollen lymph nodes, especially in the neck or armpits
  • Fever or night sweats
  • Pale skin

In children, it might also cause symptoms such as difficulty breathing, swelling in the belly due to enlarged spleen or liver, and frequent headaches or seizures. It’s important to see a doctor if these symptoms are present, as early detection can make a big difference

How Is It Diagnosed?

Leukemia is diagnosed through a series of tests and exams. First, a doctor will ask about your symptoms and medical history and perform a physical exam to check for signs like swollen lymph nodes or an enlarged spleen. The below-mentioned tests help doctors confirm if someone has it and determine the specific type, which is important for deciding the best treatment plan. The main tests used to diagnose this type of cancer are:
  1. Blood Tests: A sample of your blood is taken to look for abnormal levels of white blood cells, red blood cells, and platelets. High numbers of abnormal white blood cells can indicate it.
  2. Bone Marrow Test: A small sample of bone marrow is taken, usually from the hip bone, using a needle. This sample is checked for cancerous cells.
  3. Imaging Tests: Sometimes, imaging tests like X-rays, CT scans, or MRIs are used to see if it has affected other parts of the body.

Stages & Survival Rates of Leukemia

If doctors diagnose you with this type of cancer, they will tell you how far your cancer has progressed and, if applicable, what stage it is in. This table shows the different types of leukemia, how they are staged, and their 5-year survival rates in the United States. The stages indicate the progression of the disease, while the survival rate shows the percentage of people who live at least five years after diagnosis.

Type of LeukemiaStages5-Year Survival Rate (%)
Acute Lymphocytic Leukemia (ALL)Not typically stagedAbout 69% overall (children: 90%)
Acute Myeloid Leukemia (AML)Not typically stagedAbout 29%
Chronic Lymphocytic Leukemia (CLL)Stages 0 to IVAbout 87%
Chronic Myeloid Leukemia (CML)Chronic, Accelerated, Blast PhaseAbout 70%

CCL: Chronic Lymphocytic Leukemia

  • Stages: CLL is staged using the Rai or Binet system, ranging from stages 0 to IV.
    • Stage 0: High white blood cell count
    • Stages I-II: Enlarged lymph nodes, spleen, or liver
    • Stage III-IV: Anemia or low platelet count

CML: Chronic Myeloid Leukemia

  • Stages: CML is staged based on the phase of the disease:
    • Chronic Phase: Few symptoms, responds well to treatment
    • Accelerated Phase: More symptoms, disease progresses faster
    • Blast Phase: Severe symptoms, high number of immature white blood cells

Read more about CML here: Chronic Myeloid Leukemia: Causes, Symptoms & Treatment 

Treatment Options for Leukemia

This cancer type is treated in several ways, depending on the type and how advanced it is. The two most common treatment options are chemotherapy and radiation therapy. Chemotherapy uses drugs to kill cancer cells, while radiation therapy uses high-energy rays to target and destroy cancer cells. Other treatment options include:

  • Targeted Therapy: Uses drugs to target specific parts of cancer cells.
  • Biological Therapy: Helps the immune system fight cancer.
  • Stem Cell Transplant: Replaces damaged bone marrow with healthy bone marrow from a donor.
  • Surgery: Rarely used but can remove a large mass of affected cells.

In children, the treatment plan is often more intensive, especially for Acute Lymphocytic Leukemia (ALL). Children may receive higher doses of chemotherapy and may require longer treatment periods. They also usually need more supportive care to manage side effects and ensure healthy development during treatment. If you or a loved one are diagnosed with cancer and are unsatisfied with the treatment plan, it’s wise to seek a second opinion from another hospital or oncology center. Keep exploring to learn more about cancer, the stages of leukemia, and its treatment options. Continue your search here:

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