Leukemia
Also known as: Blood Cancer, Cancer of the Blood
Leukemia is a group of cancers that begin in blood-forming cells of the bone marrow, leading to overproduction of abnormal white blood cells. It is classified by speed (acute vs. chronic) and cell type (lymphocytic vs. myeloid). Advances in chemotherapy, targeted therapy, and stem cell transplantation have dramatically improved survival rates.
Symptoms
Causes
- Genetic mutations in bone marrow stem cells
- Chromosomal abnormalities (Philadelphia chromosome in CML)
- Previous chemotherapy or radiation exposure
- Certain genetic syndromes (Down syndrome, Fanconi anemia)
- Exposure to high levels of radiation or benzene
Risk Factors
- Previous cancer treatment with certain chemo drugs or radiation
- Genetic disorders (Down syndrome, Li-Fraumeni syndrome)
- Exposure to benzene or radiation
- Smoking (increases risk of AML)
- Family history of leukemia
Diagnosis
- CBC showing abnormal white blood cell counts
- Peripheral blood smear showing blast cells
- Bone marrow biopsy and aspiration
- Flow cytometry and cytogenetic analysis
- Molecular testing for specific mutations
Treatment
- Chemotherapy (induction, consolidation, maintenance phases)
- Targeted therapy (imatinib for CML, FLT3 inhibitors for AML)
- Immunotherapy and CAR-T cell therapy
- Allogeneic stem cell transplant for high-risk patients
- Radiation therapy in specific situations
- Supportive care (transfusions, antibiotics, growth factors)
When to See a Doctor
- Persistent unexplained fatigue, fever, or infections
- Unusual bruising, bleeding, or petechiae
- Swollen lymph nodes, bone pain, or unexplained weight loss
- Blood tests show abnormal cell counts
Frequently Asked Questions
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