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Leukaemia: Types, Causes, Symptoms, Diagnosis, Treatment

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Did you know, leukaemia is one of the most widespread forms of blood cancer in the world? Leukaemia cells behave like abnormal blood cells, hence it is commonly called blood cancer. Its treatment depends on the type, severity of the condition, patient’s age, gender and overall health. In this article, we are going to discuss all that you need to know about leukaemia.

What Is Leukaemia?

Leukaemia is a form of blood cancer that is characterised by the rapid growth of the blood cells. This unprecedented growth usually occurs in the bone marrow, where most of the blood is produced. These blood cells are also often referred to as abnormal white blood cells since they have no purpose in improving your immunity. Instead of helping your body, these blood cells could potentially impair the ability of the bone marrow to produce blood cells and platelets.

What Are The Various Types Of Leukaemia?

Leukaemia can be of two main types, chronic or acute. While chronic leukaemia generally has a slower progression, acute leukaemia requires immediate medical attention. 

Leukaemia can also be classified as lymphocytic or myelogenous. Lymphocytic leukaemia causes abnormal growth of cells in lymphocytes while myelogenous leukaemia causes a growth in the bone marrow cells that mature into red blood cells. The four major classifications of leukaemia include the following:

1. Acute lymphocytic leukaemia (ALL)

ALL is a cancer that primarily affects your blood and bone marrow. It specifically targets your white blood cells which can hamper your body’s ability to combat infections. It is generally more common in children than adults. However, children have higher rates of successful recovery from this disease, compared to adults.

2. Acute myelogenous leukaemia (AML)

AML is a relatively uncommon cancer that impacts both the bone marrow and blood. It is characterized by its aggressive nature. If necessary treatment is not provided early, it may become life-threatening, especially for elderly people.

3. Chronic lymphocytic leukaemia (CLL)

CLL is the most common type of blood cancer found in adults. It usually happens when healthy white blood cells in your bone marrow start mutating or change into cancerous cells. These cells multiply and overcrowd healthy blood cells and platelets.

4. Chronic myelogenous leukaemia (CML)

CML is a type of blood cancer that originates in the blood-forming myeloid cells or stem cells in your bone marrow. However, with several innovative therapies, even a life-threatening disease like CML can be treated effectively.

Symptoms Of Leukaemia

Some of the most common symptoms of leukaemia include:

Acute lymphocytic leukaemia (ALL)

Acute myelogenous leukaemia (AML)

Chronic lymphocytic leukaemia (CLL)

Chronic myelogenous leukaemia (CML)

Anaemia

Bone, back or abdominal pain

Pain or a sense of fullness under the ribs

Abdominal swelling

Frequent nose bleeds

Tiny red spots on your skin

Fatigue 

Discomfort in the upper left part of the belly

Heavy menstrual periods

Wound or sores that won’t go away

Fever

Feeling full despite eating less

Excessive night sweating

Swollen lymph nodes

Unexplained weight loss

Night sweats

Cough

Pale skin

   

Joint pain

Frequent infections

   

Loss of appetite

Bruising

   

Shortness of breath

Weakness

   

Causes Of Leukaemia

While there is no definite cause of leukaemia, some risk factors may increase your chances of developing the disease. Factors that may increase your risk for leukaemia include: 

Acute lymphocytic leukaemia (ALL)

Acute myelogenous leukaemia (AML)

Chronic lymphocytic leukaemia (CLL)

Chronic myelogenous leukaemia (CML)

Being a woman

DNA changes

Family history

Exposure to a high level of radiation

Having white ethnicity

Hereditary genetic disorder

Being a woman

 

Radiation exposure in the womb or during therapy

Age at or above 65 years 

Age at or above 65 years 

 

Viral infections like Epstein-Barr virus or human T-cell leukaemia

Undergone chemotherapy or radiation therapy

Exposure to agent orange (a chemical used during the Vietnam War)

 
 

Bone marrow disorders

Monoclonal B-cell lymphocytosis

 
 

Smoking

   

Leukaemia Complications

Several complications associated with leukaemia include:

Acute lymphocytic leukaemia (ALL)

Acute myelogenous leukaemia (AML)

Chronic lymphocytic leukaemia (CLL)

Chronic myelogenous leukaemia (CML)

Body imbalance

Anaemia

Anaemia

Genetic mutations

Nausea and vomiting

Thrombocytopenia (extremely low platelets)

Lymphoma (cancer of the lymphatic system)

Change in myeloid stem cells growing in the bone marrow

Enlarged spleen & liver

Pancytopenia (low number of RBC, WBC, & platelets)

Thrombocytopenia (extremely low platelets)

30% higher risk of developing stomach, thyroid, lung & prostate cancer

Numbness

 

Autoimmune diseases

 

Seizures

 

Increased risk of developing skin, lung & colon cancer

 

Headaches & distorted vision

     

Leukaemia Diagnosis

Leukaemia is diagnosed with the help of various blood & imaging tests. These tests include:

Acute lymphocytic leukaemia (ALL)

Acute myelogenous leukaemia (AML)

Chronic lymphocytic leukaemia (CLL)

Chronic myelogenous leukaemia (CML)

Complete blood count or CBC test

Complete blood count or CBC test

Complete blood count or CBC test

Complete blood count or CBC test

Bone marrow biopsy

Fluorescence-in-situ-

hybridization or FISH

Peripheral blood smear

Bone marrow biopsy

Lymph node biopsy

Karyotype

Genetic tests

Ultrasound

Lumbar puncture

Immuno-histochemistry

   

Imaging scans like MRI, CT & PET scan

     

Flow cytometry

     

Cytogenetic tests

     

Molecular assays

     

Annual health checkups can help in the early diagnosis of any medical condition, including cancer. 

Book Apollo’s Full Body Checkup Now

Leukaemia Treatment

Treatment procedures that can be used for leukaemia treatment include:

Acute lymphocytic leukaemia (ALL)

Acute myelogenous leukaemia (AML)

Chronic lymphocytic leukaemia (CLL)

Chronic myelogenous leukaemia (CML)

Chemotherapy

Chemotherapy

Chemotherapy

Tyrosine kinase inhibitors

Targeted therapy

Remission induction therapy

BCL2 inhibitor therapy

 

Immunotherapy

Consolidation therapy

Monoclonal antibody therapy 

 

Radiation therapy

Maintenance therapy

BTK inhibitor therapy

 

Bone marrow transplantation

Allogeneic stem cell transplantation

Immunotherapy

 

Takeaway

There is no cure for leukaemia but it is still possible to achieve long-term remission with proper care and medication. Your doctor plays an invaluable role in ensuring your cancer is being treated effectively. Make sure that you let them know of every change that your body experiences so that they can steer you towards the right direction. If you have any questions,

Consult Apollo’s Oncologists

Frequently Asked Questions (FAQs)

1. Who is at the highest risk of acquiring leukaemia?

People over the age of 65 are typically at a higher risk of leukaemia. However, it may occur in younger adults and children.

2. What is the cost of leukaemia treatment in India?

Entire leukaemia treatment and therapy can cost anywhere from Rs. 10,94,000 to Rs. 22,00,000.

3. What is the survival rate of leukaemia?

The survival rates for all four variations of leukaemia are:

  • CLL - 5-year survival rate is around 88%
  • ALL - 5-year survival rate is around 71.3%
  • CML - 5-year survival rate is around 70.6%
  • AML - 5-year survival rate is around 31.7%

4. When should you consult a doctor?

If you experience sudden unexplained weight loss, fever, nausea, dizziness or loss of appetite, you should consult a doctor for further investigation. 

5. What is the newest treatment for leukaemia?

The Food and Drug Administration recently approved the use of a drug named zanubrutinib, which is considered to be an effective form of medication to treat CLL with minimal side effects.

 

Medically reviewed by Dr Sonia Bhatt.

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