What is leukemia?
Leukemia is cancer of the white blood cells. It starts in the bone
marrow and can spread to the blood, lymph nodes, spleen, liver,
central nervous system, and other organs. This cancer causes large
numbers of abnormal white cells to form. There are two main types
of leukemia. The first type is the rapid growing kind called acute
leukemia. The second kind is slow growing and called chronic
leukemia. Most childhood cases are the acute, or fast growing kind
of leukemia.
White blood cells defend the body against infection. Blood cells
grow in the bone marrow and are supposed to be fully grown when
they enter the bloodstream. In acute leukemia, too many white
blood cells form and they lose their ability to fully mature.
Immature cells take over the marrow. When this happens the bone
marrow cannot make enough of the other cells found in blood, like
red blood cells, normal white blood cells, and platelets, that the
body needs.
How does it occur?
Leukemia is caused by changes in the genes found in growing blood
cells. These are called mutations. These defective genes form
randomly and are not directly inherited from the parents.
Researchers are studying how high levels of radiation or exposure
to certain chemicals may put a person at a higher risk of
developing leukemia.
What are the symptoms?
The symptoms may include:
- fatigue
- fever
- pale skin
- loss of appetite
- bruising or bleeding
- anemia
- bone pain
- frequent infections
- weight loss
- shortness of breath.
Many of these symptoms can have other causes. These symptoms are
not always related to leukemia.
How is it diagnosed?
Your child's healthcare provider will do a physical exam and take
blood for testing. The number of white blood cells in the blood is
counted to see if it is abnormally high.
Depending on the results of the blood test, your child may also
need:
- a bone marrow biopsy, where a sample of bone marrow is taken
from the hip bone for testing
- a lymph node biopsy to look for abnormal white blood cells in
the lymph nodes
- a lumbar puncture (also called a spinal tap) to check if the
leukemia has spread to the brain and spinal cord
- additional testing of the blood for specific problems with the
white blood cells.
How is it treated?
Leukemia is often, though not always curable. The success rate of
curing leukemia partly depends on what is causing the disease.
Treatment often involves intensive chemotherapy. Chemotherapy uses
strong medicine to kill as many of the cancer cells as possible.
Once most of the cells are gone and there are no signs of
leukemia, less frequent drug treatment is needed to find and kill
any remaining cancer cells.
Another treatment option is a bone marrow transplant. This is
usually done after the chemotherapy is used to kill the cancer
cells in the bone marrow. New bone marrow collected from a donor
is put into the bone to help make healthy white blood cells.
Where can I get more information?
To learn more about leukemia, call the Leukemia and Lymphoma
Society at 800-955-4572 or visit their Web site at
http://www.leukemia.org.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.