Precursor B-cell lymphoblastic leukemia

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Precursor B-cell lymphoblastic leukemia (PB-ALL) is a type of cancer that originates in the bone marrow and affects the B lymphocytes, a type of white blood cell that plays a crucial role in the immune system. This disease is characterized by the rapid proliferation of immature B cells, known as lymphoblasts, which can spread to other parts of the body, including the lymph nodes, liver, spleen, and central nervous system.

Etiology[edit | edit source]

The exact cause of PB-ALL is unknown, but several risk factors have been identified. These include exposure to high levels of radiation, certain genetic disorders such as Down syndrome, and a history of chemotherapy or radiation therapy for other cancers.

Symptoms[edit | edit source]

Symptoms of PB-ALL can vary, but often include fatigue, fever, weight loss, bruising or bleeding, bone pain, and swollen lymph nodes. In some cases, the disease can also cause anemia, infections, and other complications due to the lack of healthy blood cells.

Diagnosis[edit | edit source]

Diagnosis of PB-ALL typically involves a series of tests, including blood tests, bone marrow biopsy, and cytogenetic analysis. These tests can help determine the presence of abnormal cells and identify any genetic changes that may be driving the disease.

Treatment[edit | edit source]

Treatment for PB-ALL usually involves chemotherapy, which can kill cancer cells and prevent their growth. In some cases, stem cell transplantation may also be used. This procedure involves replacing the patient's diseased bone marrow with healthy stem cells from a donor.

Prognosis[edit | edit source]

The prognosis for PB-ALL can vary depending on a number of factors, including the patient's age, overall health, and the specific characteristics of the leukemia. However, with appropriate treatment, many patients can achieve long-term remission.

See also[edit | edit source]

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Contributors: Prab R. Tumpati, MD