Treatment FAQ

how well leukemia responds to treatment

by Dr. Eric Schneider V Published 3 years ago Updated 2 years ago
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Most people will respond to some form of treatment, but over time they tend to relapse. PLL may develop in someone who already has chronic lymphocytic leukemia (CLL

Chronic Lymphocytic Leukemia

A type of cancer that begins in the lymphocytes of bone marrow and extends into the blood.

) (in which case it tends to be more aggressive), but it can also occur in people who have never had chronic lymphocytic leukemia (CLL).

About half of these patients go into remission after initial treatment. If remission is achieved, patients typically get more chemo (consolidation) to try to get rid of any remaining leukemia cells. Up to half of patients who get consolidation go into long-term remission (and may be cured).Aug 21, 2018

Full Answer

How can I deal with my leukemia?

About half of these patients go into remission after initial treatment. If remission is achieved, patients typically get more chemo (consolidation) to try to get rid of any remaining leukemia …

What happens when there is no cure for leukemia?

Most often, acute myeloid leukemia (AML) will go into remission after the initial treatment. But sometimes it doesn't go away completely, or it comes back (relapses) after a period of …

How is radiation therapy used to treat leukemia?

Sep 29, 2021 · Types of immunotherapy for leukemia include: Monoclonal antibody therapy. This therapy helps your body produce antibodies that typically fight infection. CAR T-cell therapy. …

Why choose Mayo Clinic for Leukemia Research?

How well your leukemia responds to treatment. Understanding survival rates. Survival rates show how many people live for a certain length of time after being told they have cancer. Most often, …

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How successful is treatment for leukemia?

The cure rates and survival outcomes for patients with ALL have improved over the past few decades. Today, nearly 90 percent of adults diagnosed with ALL achieve a complete remission, which means that leukemia cells can no longer be seen in the bone marrow with a microscope.

What is the success rate of chemotherapy for leukemia?

In adults, treatment results are generally analyzed separately for younger (18-60 y) patients with AML and for older patients (>60 y). With current standard chemotherapy regimens, approximately 40-45% of adults younger than 60 years survive longer than 5 years and are considered cured.

Does leukemia go away with treatment?

Most often, acute myeloid leukemia (AML) will go into remission after the initial treatment. But sometimes it doesn't go away completely, or it comes back (relapses) after a period of remission. If this happens, other treatments can be tried, as long as a person is healthy enough for them.Aug 21, 2018

What are the chances of recovering from leukemia?

Survival rates by type
TypeAge rangeSurvival rate
Acute Myeloid Leukemia (AML)This type of leukemia is most common in older adults, but it can be diagnosed at any age. Most deaths occur in people ages 65 to 84.Relative survival rate for all ages 5 years after diagnosis is about 29.5% .
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Aug 18, 2021

Can you live 20 years with leukemia?

People in stages 0 to II may live for 5 to 20 years without treatment. CLL has a very high incidence rate in people older than 60 years. CLL affects men more than women. If the disease has affected the B cells, the person's life expectancy can range from 10 to 20 years.Nov 16, 2021

Which type of leukemia is most curable?

While it is similar in many ways to the other subtypes, APL is distinctive and has a very specific treatment regime. Treatment outcomes for APL are very good, and it is considered the most curable type of leukemia.Nov 14, 2019

Can you live a normal life with leukemia?

Chronic lymphocytic leukemia (CLL) can rarely be cured. Still, most people live with the disease for many years. Some people with CLL can live for years without treatment, but over time, most will need to be treated.May 10, 2018

How many rounds of chemo is needed for leukemia?

You'll usually be given a combination of 2 or more chemotherapy drugs. Most people have 2 rounds of induction chemotherapy. The treatment will be carried out in hospital or in a specialist centre, as you'll need very close medical and nursing supervision. You may be able to go home between treatment rounds.

Can leukemia be cured if caught early?

Leukemia is the cancer of the blood-forming tissues that includes bone marrow and lymphatic system. Adults and children are equally affected by Leukemia, which is seen as production of abnormal white blood cells by the bone marrow.Mar 7, 2016

Can you be fully cured of leukemia?

As with other types of cancer, there's currently no cure for leukemia. People with leukemia sometimes experience remission, a state after diagnosis and treatment in which the cancer is no longer detected in the body. However, the cancer may recur due to cells that remain in your body.May 3, 2021

Who gets leukemia the most?

Although it is often thought of as a children's disease, most cases of leukemia occur in older adults. More than half of all leukemia cases occur in people over the age of 65.

How fast does leukemia progress?

Chronic leukemia usually gets worse slowly, over months to years, while acute leukemia develops quickly and progresses over days to weeks. The two main types of leukemia can be further organized into groups that are based on the type of white blood cell that is affected — lymphoid or myeloid.

For Most Types of Acute Myeloid Leukemia

If acute myeloid leukemia (AML) doesn’t go away with the first treatment, newer drugs or more intensive doses of chemotherapy (chemo) drugs may be...

For Aml With An IDH2 Gene Mutation

If the leukemia cells have an IDH2 gene mutation, one option if the leukemia doesn’t go away or if it comes back later might be treatment with a ta...

For Acute Promyelocytic Leukemia

For patients with acute promyelocytic leukemia (APL) who don’t respond to initial treatment with chemo plus ATRA or who relapse, arsenic trioxide (...

What is the treatment for leukemia?

Chemotherapy. Chemotherapy is the major form of treatment for leukemia. This drug treatment uses chemicals to kill leukemia cells. Depending on the type of leukemia you have, you may receive a single drug or a combination of drugs. These drugs may come in a pill form, or they may be injected directly into a vein.

Can leukemia be devastating?

A diagnosis of leukemia may be devastating — especially for the family of a newly diagnosed child. With time you'll find ways to cope with the distress and uncertainty of cancer. Until then, you may find it helps to: Learn enough about leukemia to make decisions about your care.

Can leukemia be detected in blood?

A blood test may also show the presence of leukemia cells, though not all types of leukemia cause the leukemia cells to circula te in the blood. Sometimes the leukemia cells stay in the bone marrow. Bone marrow test. Your doctor may recommend a procedure to remove a sample of bone marrow from your hipbone.

How is bone marrow removed?

The bone marrow is removed using a long, thin needle. The sample is sent to a laboratory to look for leukemia cells. Specialized tests of your leukemia cells may reveal certain characteristics that are used to determine your treatment options.

What is targeted therapy?

Targeted therapy. Targeted drug treatment s focus on specific abnormalities present within cancer cells. By blocking these abnormalities, targeted drug treatments can cause cancer cells to die. Your leukemia cells will be tested to see if targeted therapy may be helpful for you. Radiation therapy.

What is the treatment for bone marrow transplant?

Radiation therapy may be used to prepare for a bone marrow transplant. Bone marrow transplant. A bone marrow transplant, also called a stem cell transplant, helps reestablish healthy stem cells by replacing unhealthy bone marrow with leukemia-free stem cells that will regenerate healthy bone marrow.

Can you use your own stem cells?

You may receive stem cells from a donor or you may be able to use your own stem cells. Immunotherapy. Immunotherapy uses your immune system to fight cancer. Your body's disease-fighting immune system may not attack your cancer because the cancer cells produce proteins that help them hide from the immune system cells.

What is the treatment for leukemia that doesn't go away?

If the leukemia cells have an IDH1 or IDH2 gene mutation, one option if the leukemia doesn’t go away or if it comes back later might be treatment with a targeted drug called an IDH inhibitor, such as ivosidenib (Tibsovo) for AML with an IDH1 mutation, or enasidenib (Idhifa) for AML with an IDH2 mutation. Other options might include chemo ...

What is supportive care for leukemia?

Supportive treatment for leukemia that won't go away. If further treatment or a clinical trial is not an option, the focus of treatment may shift to controlling symptoms caused by the leukemia, rather than trying to cure it. This is called palliative treatment or supportive care.

How to tell if you have leukemia?

Other common symptoms from leukemia are low blood counts and fatigue. Medicines or blood transfusions may be needed to help correct these problems. Nausea and loss of appetite can be treated with medicines and high-calorie food supplements. Infections that occur may be treated with antibiotics.

Does AML go away?

Most often, acute myeloid leukemia (AML) will go into remission after the initial treatment. But sometimes it doesn't go away completely, or it comes back (relapses) after a period of remission. If this happens, other treatments can be tried, as long as a person is healthy enough for them.

Can you get AML with chemotherapy?

If AML doesn’t go away completely with induction treatment, sometimes a second, similar course of chemotherapy (chemo), often called reinduction, can be tried. If this isn't helpful, treatment with other chemo drugs or more intensive doses of chemo may be tried, if the person can tolerate them. A stem cell transplant may be an option for some people, as it can allow higher doses of chemo to be used. Clinical trials of new treatment approaches may also be an option.

How long does it take for ATRA to relapse?

For patients whose initial treatment was with the non-chemo drugs all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) and who relapse early (usually within about 6 months), treatment will most likely be with some of the same chemo drugs used to treat other types of AML.

What is the best medicine for pain?

If medicines such as aspirin and ibuprofen don’t help with the pain, stronger opioid medicines such as morphine are likely to be helpful. Some people may worry about taking stronger drugs for fear of being sleepy all the time or becoming addicted to them.

What is the WBC count for leukemia?

Your health history (such as if you've had a blood disease or have had chemotherapy for another cancer in the past) Gene or chromosome changes in the leukemia cells. If you have a very high white blood cell (WBC) count at diagnosis (greater than 100,000)

How to diagnose AML?

Your prognosis depends mainly on: 1 The subtype of AML 2 Your age and overall health 3 Your health history (such as if you've had a blood disease or have had chemotherapy for another cancer in the past) 4 Gene or chromosome changes in the leukemia cells 5 If you have a very high white blood cell (WBC) count at diagnosis (greater than 100,000) 6 If there are leukemia cells in your brain and spinal cord (called CNS or central nervous system involvement). This is very rare. 7 If you have a bad infection when you're diagnosed 8 How well your leukemia responds to treatment

How long do you live after cancer diagnosis?

Most often, the numbers used refer to the 5-year survival rate. That’s how many people live at least 5 years after being diagnosed.

Is a prognosis a prediction?

It’s important to keep in mind that a prognosis states what’s likely or probable. It is not a prediction of what will definitely happen. No doctor can be fully certain about an outcome. Your prognosis depends mainly on: The subtype of AML. Your age and overall health.

Can you get leukemia in a routine blood test?

Doctors may find chronic leukemia in a routine blood test, before symptoms begin. If this happens, or if you have signs or symptoms that suggest leukemia, you may undergo the following diagnostic exams:

Can leukemia be devastating?

A diagnosis of leukemia may be devastating — especially for the family of a newly diagnosed child. With time you’ll find ways to cope with the distress and uncertainty of cancer. Until then, you may find it helps to:

What is the difference between acute leukemia and immature leukemia?

Acute leukemia. In acute leukemia the bone marrow cells cannot mature properly , the abnormal blood cells are immature blood cells (blasts). Immature leukemia (blasts) cells continue to reproduce and build up. They can’t carry out their normal functions, and they multiply rapidly, so the disease worsens quickly. Acute leukemia requires aggressive, timely treatment. Without treatment, most people with acute leukemia would live only a few months. Some types of acute leukemia respond well to treatment, and many patients can be cured. Other types of acute leukemia have a less favorable outlook.

What type of leukemia affects the lymphoid cells?

Lymphocytic leukemia. This type of leukemia affects the lymphoid cells (lymphocytes), which form lymphoid or lymphatic tissue. Lymphatic tissue makes up your immune system. Leukemias that start in immature forms of lymphocytes are called lymphocytic leukemias (also known as lymphoid or lymphoblastic leukemias).

Where does acute lymphoblastic leukemia start?

Acute lymphoblastic leukemia (ALL), also called acute lymphocytic leukemia, is a cancer that starts from the early version of white blood cells called lymphocytes in the bone marrow (the soft inner part of the bones, where new blood cells are made).

What tests are used to determine the subtype of leukemia?

Doctors have found that cytogenetic tests, flow cytometry, and oter lab tests provide more detailed information about the subtype of ALL and the patient’s prognosis. These tests help divide ALL into groups based on the immunophenotype of the leukemia, which takes into account:

Is acute lymphocytic leukemia a single disease?

Adult acute lymphocytic leukemia (ALL) is not a single disease. It is really a group of related diseases, and patients with different subtypes of ALL may have different outlooks and responses to treatment.

What are leukemia cells?

They are also called leukemia cells. The leukemia cells can build up in the blood and bone marrow so there is less room for healthy white blood cells, red blood cells, and platelets. This may cause infection, anemia, and easy bleeding. Some of the leukemia cells may collect in the spleen and cause it to swell.

How do you know if you have hairy cell leukemia?

Check with your doctor if you have any of the following: Weakness or feeling tired. Fever or frequent infections.

Why is hairy cell leukemia called hairy cell leukemia?

The disease is called hairy cell leukemia because the leukemia cells look "hairy" when viewed under a microscope. Anatomy of the bone. The bone is made up of compact bone, spongy bone, and bone marrow. Compact bone makes up the outer layer of the bone.

What is the difference between red and yellow bone marrow?

There are two types of bone marrow: red and yellow. Red marrow contains blood stem cells that can become red blood cells, white blood cells, or platelets. Yellow marrow is made mostly of fat.

What cells fight infection?

White blood cells that fight infection and disease. Platelets that form blood clots to stop bleeding. A lymphoid stem cell becomes a lymphoblast cell and then one of three types of lymphocytes (white blood cells): B lymphocytes that make antibodies to help fight infection.

What is CBC in medical terms?

Complete blood count (CBC): A procedure in which a sample of blood is drawn and checked for the following: The number of red blood cells, white blood cells, and platelets. The amount of hemoglobin (the protein that carries oxygen) in the red blood cells.

What is CBC used for?

The CBC is used to test for, diagnose, and monitor many different conditions. Peripheral blood smear: A procedure in which a sample of blood is checked for cells that look "hairy," the number and kinds of white blood cells, the number of platelets, and changes in the shape of blood cells.

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Diagnosis

Treatment

  • Treatment for your leukemia depends on many factors. Your doctor determines your leukemia treatment options based on your age and overall health, the type of leukemia you have, and whether it has spread to other parts of your body, including the central nervous system. Common treatments used to fight leukemia include: 1. Chemotherapy. Chemotherapy ...
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Coping and Support

  • A diagnosis of leukemia may be devastating — especially for the family of a newly diagnosed child. With time you'll find ways to cope with the distress and uncertainty of cancer. Until then, you may find it helps to: 1. Learn enough about leukemia to make decisions about your care. Ask your doctor about your leukemia, including your treatment options and, if you like, your prognosis. As …
See more on mayoclinic.org

Preparing For Your Appointment

  • Start by seeing your family doctor if you have signs or symptoms that worry you. If your doctor suspects you have leukemia, you may be referred to a doctor who specializes in diseases of the blood and bone marrow (hematologist). Because appointments can be brief, and because there's often a lot of information to discuss, it's a good idea to be prepared. Here's some information to …
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