Leukemic
Leukemia is a group of blood cancers that usually begin in the bone marrow and result in high numbers of abnormal white blood cells. These white blood cells are not fully developed and are called blast cells or leukemia cells. Symptoms may include bleeding and bruising problems, feeling tired, fever, and an increased risk of infections. These symptoms occur due to a lack of normal blood cells. Diagnosis is typically made by blood tests or bone marrow biopsy.
The exact cause of leukemia is unknown. Different types of leukemia have different risk factors. These include smoking, ionizing radiation, some chemicals (such as benzene), prior chemotherapy, and Down syndrome among others. People with a family history of leukemia are also at higher risk. There are four main types of leukemia — acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), and chronic myeloid leukemia (CML) — as well as a number of less common types.
Treatment may involve some combination of chemotherapy, radiation therapy, targeted therapy, and bone marrow transplant, in addition to supportive care and palliative care as needed. Certain types of leukemia may be managed with watchful waiting. The chance of survival has increased from the 1960s to 2015 due to advances in treatment.
Leukemia and lymphoma are a part of the broader group of tumors of the hematopoietic and lymphoid tissues. In 2015, leukemia was present in 2.3 million people and caused 353,500 deaths. In 2012 it newly developed in 352,000 people. It is the most common type of cancer in children, with three quarters of leukemia cases in children being ALL. However, about 90% of all leukemias are diagnosed in adults.
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Contributors: Prab R. Tumpati, MD