The word Leukemia
comes from the Greek leukos which means "white" and aima which means
"blood". It is cancer of the blood or bone marrow (which produces blood
cells). A person who has leukemia suffers from an abnormal production of blood
cells, generally leukocytes (white blood cells).
Types of Leukemia
Chronic and Acute
Experts divide leukemia into four large groups,
each of which can be Acute, which is a rapidly progressing disease that results
in the accumulation of immature, useless cells in the marrow and blood, or
Chronic, which progresses more slowly and allows more mature, useful cells to
be made. In other words, acute leukemia crowds out the good cells more quickly
than chronic leukemia.
Lymphocytic and Myelogenous
Lymphocytic and Myelogenous
Leukemia’s are also subdivided into the type of
affected blood cell. If the cancerous transformation occurs in the type of
marrow that makes lymphocytes, the disease is called lymphocytic leukemia. A
lymphocyte is a kind of white blood cell inside your vertebrae immune system.
If the cancerous change occurs in the type of marrow cells that go on to
produce red blood cells, other types of white cells, and platelets, the disease
is called myelogenous leukemia.
also known
as Acute Lymphoblastic Leukemia - This is the most common type of leukemia
among young children, although adults can get it as well, especially those over
the age of 65. Survival rates of at least five years range from 85% among
children and 50% among adults. The following are all subtypes of this leukemia:
precursor B acute
lymphoblastic leukemia, precursor T acute lymphoblastic leukemia,
Burkitt's leukemia, and acute biphenotypic leukemia.
Chronic Lymphocytic Leukemia (CLL) –
Chronic Lymphocytic Leukemia (CLL) –
This is most common among adults over 55, although
younger adults can get it as well. CLL hardly ever affects children. The
majority of patients with CLL are men, over 60%. 75% of treated CLL patients
survive for over five years. Experts say CLL is incurable. A more aggressive
form of CLL is B-cell prolymphocytic leukemia.
Acute Myelogenous Leukemia (AML) –
Acute Myelogenous Leukemia (AML) –
AML is more common among adults than children, and
affects males significantly more often than females. Patients are treated with chemotherapy. 40% of treated patients survive for
over 5 years. The following are subtypes of AMS - acute promyelocytic leukemia,
acute myeloblastic leukemia, and acute megakaryoblastic leukemia.
Chronic Myelogenous Leukemia (CML) –
Chronic Myelogenous Leukemia (CML) –
The vast majority of patients are adults. 90% of
treated patients survive for over 5 years. Gleevec (imatinib) is commonly used to treat CML,
as well as some other drugs. Chronic monocytic leukemia is a subtype of
CML.
Symptoms of Leukemia
- Blood clotting is poor –
As immature white blood cells crowd out blood
platelets, which are crucial for blood clotting, the patient may bruise or
bleed easily and heal slowly - he may also develop petechiae (a small red to
purple spot on the body, caused by a minor hemorrhage).
- Affected immune system –
The patient's white blood cells,
which are crucial for fighting off infection, may be suppressed or not working
properly. The patient may experience frequent infections, or his immune system
may attack other good body cells.
- Anemia –
As the shortage of good red blood cells grows
the patient may suffer from anemia
- this may lead to difficult or labored respiration (dyspnea) and pallor (skin
has a pale color caused by illness).
- Other symptoms
Patients may also experience nausea, fever,
chills, night sweats, flu-like symptoms, and tiredness.
If the liver or spleen becomes enlarged the patient may feel full and will eat
less, resulting in weight loss. Headache
is more common among patients whose cancerous cells have invaded the CNS
(central nervous system).
- Precaution –
As all these symptoms could be
due to other illnesses. A diagnosis of leukemia can only be confirmed after
medical tests are carried out.
What causes
leukemia?
The causes of
leukemia, lymphoma, melanoma and related blood
disorders are not definitely known. However, a few factors do appear to
affect its development Experts say that different leukemia’s have different causes. The following are either known causes, or strongly suspected causes:
disorders are not definitely known. However, a few factors do appear to
affect its development Experts say that different leukemia’s have different causes. The following are either known causes, or strongly suspected causes:
GeneticFactors
Down’s syndrome children have an increased risk of developing acute
leukemia, as do children with some other rare chromosomal
abnormalities. Genetic factors rarely play a role in the development of
chronic leukemia.
Down’s syndrome children have an increased risk of developing acute
leukemia, as do children with some other rare chromosomal
abnormalities. Genetic factors rarely play a role in the development of
chronic leukemia.
Radiation
Leukemia occurs at higher than average rates among people exposed
to intense radiation. These include survivors of the nuclear bomb
explosions in Japan; people exposed to radiation after the Chernobyl
nuclear plant disaster in the Ukraine; and people who received large
amounts of radiation necessary for the treatment of certain medical
conditions in the past.
No well designed study has ever shown a relationship between leukemia
and power lines.
Chemicals
Workers exposed to benzene have an increased risk of developing acute
leukemia. Some types of cytotoxic drugs used in organ transplant patients
and cancer treatments also increase the risk of developing leukemia.
Viruses
These risk factors account for only a part of the cause of leukemia in an
individual patient and account for a very small number of all leukemia
cases. In most cases the cause remains unknown. Having one or more
of these factors does not mean that you will definitely develop leukemia.
If you are concerned about any of these factors you should talk to your
doctor.
- Alkylating chemotherapy agents used in previous cancers
- Maternal fetal transmission (rare)
- Hair dyes
Electromagnetic energy
- - studies indicate there is not enough evidence to show that ELF magnetic (not electric) fields that exist currently might cause leukemia.
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