Leukemias are a group of disorders which represent
cancers of the blood and bone marrow system. Blood
cells are made by your bone marrow, which is the soft
tissue in the middle of most bones. In leukemia, the
bone marrow starts making too many white blood cells,
and sometimes these cells don't work right. As a
result of the uncontrolled growth of leukemic cells in
the bone marrow, there is inadequate space in the bone
marrow for normal blood production (hematopoiesis) to
occur. The lack of normal blood growth results in the
lack of normal white blood cells (increasing the risk
of infection), the lack of red blood cells (resulting
in fatigue, weakness, and anemia) and the lack of
normal platelet production increasing the risk of
bleeding.
Leukemia may be fatal. People may die from internal
bleeding which would have been prevented by the
platelets. Or, more often, they may die from
infections which start with a virus or bacteria that
would ordinarily have been wiped out by healthy white
blood cells. The exact course leukemia takes, and the
speed with which it takes that course, varies with the
type and age of the white cells initially affected.
There several types of leukemia classified as acute or
chronic based on how fast the disease progresses and
by the white blood cell type that is affected.
Acute leukemia is a disease that gets worse quickly.
The bone marrow produces blasts, which are very early
or immature cells incapable of useful functions. In
the acute leukemias, blasts multiply quickly and
overcrowd the bone marrow, squeezing out normal cells,
then spill over into the bloodstream.
Chronic leukemia usually progresses slowly. An adult
can have chronic leukemia for many years before it
becomes a problem.
Leukemias are named by the type of white blood cell
that is defective. In lymphocytic leukemia,
lymphocytes are malfunctioning. In myeloid leukemia,
myeloid cells are malfunctioning.
Causes
Experts do not know what causes leukemia. Research
has shown that some people may be more likely to get
leukemia. While we don't know what causes leukemia in
most cases, excessive exposure to ionizing radiation
and certain chemicals are suspected to be contributing
factors.
Symptoms
Symptoms of leukemia depend on how much the cancer
has grown and may include:
- Fevers and night sweats
- Frequent or unusual infections
- Weakness and fatigue
- Headaches
- Bleeding in gums
- Bleeding under the skin, such as bruises or spots
- Joint pain
- Fatigue
- Enlarged lymph nodes
- Bone pain
- Swelling in the belly or pain on the left side of the
belly or in the left shoulder from a swollen spleen.
- Decreased appetite and weight loss because you feel
full and don't want to eat.
The chronic forms of leukemia often cause no
symptoms until much later in the disease.
Treatment
The goal of treatment for leukemia is to destroy
the leukemia cells and allow normal cells to form in
your bone marrow. Health News are based on the
type of leukemia you have, its stage, and your age and
general health. Conventional chemotherapy drugs,
possibly two or more, are most popular, however, some
types of Leukemia require more aggressive or
innovative treatments. Treatments may initially be
administered in a hospital and subsequently in an
outpatient setting.
For most people, that means receiving drugs in
three stages:
Induction. The goal of this stage is remission.
Remission is a period in which the leukemia cells have
been destroyed and are replaced with healthy cells. It
is done with high doses of powerful drugs given over 7
to 10 days. Then it takes several weeks for your body
to start growing new blood cells.
Consolidation. Even when tests show no leukemia cells
can be found, there may still be some. The goal of
consolidation is to kill any cells that are left.
Consolidation often involves the same drugs given in
the induction stage, but the schedule and doses may be
different.
Maintenance. The goal of this stage is to prevent
leukemia cells from growing back. During maintenance
you are given lower doses of drugs over the course of
2 to 3 years. Sometimes this stage includes a bone
marrow transplant.