Treatment FAQ

what are the treatment options for leukemia

by Crystel Robel Published 2 years ago Updated 2 years ago
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Common treatments used to fight leukemia include:
  • Chemotherapy. Chemotherapy is the major form of treatment for leukemia. ...
  • Targeted therapy. ...
  • Radiation therapy. ...
  • Bone marrow transplant. ...
  • Immunotherapy. ...
  • Engineering immune cells to fight leukemia. ...
  • Clinical trials.

Medication

Jul 17, 2020 · These phases of leukemia treatment may include induction therapy, consolidation therapy, and maintenance therapy. Induction Therapy In acute forms of leukemia (ALL and AML), chemotherapy is often used as an initial treatment to kill as many cancer cells as possible and wipe out all signs of disease, resulting in remission. Consolidation Therapy

Procedures

Oct 30, 2021 · There are many options when it comes to treating leukemia. The best choice for someone with leukemia will depend on the person and the type of leukemia he or she has. The main treatment for most types of leukemia is chemotherapy. But, there are other options. They include a stem cell transplant, radiation therapy, immunotherapy, and surgery.

Therapy

When treatment is needed, the main treatments used are: Chemotherapy for Chronic Lymphocytic Leukemia. Monoclonal Antibodies for Chronic Lymphocytic Leukemia. Targeted Therapy Drugs for Chronic Lymphocytic Leukemia. Supportive Care for Chronic Lymphocytic Leukemia. Stem Cell Transplant for Chronic Lymphocytic Leukemia.

Nutrition

Mar 04, 2022 · Treatment Option Overview There are different types of treatment for patients with acute myeloid leukemia.. Different types of treatment are... The treatment of AML usually has two phases.. Remission induction therapy: This is the first phase of treatment. The... Patients receive supportive care for ...

How do you cure leukemia?

What are the treatment options for leukemia? 1. Chemotherapy Chemotherapy is the most common treatment and plays a major role in the treatment of leukemia. For chemotherapy, there are several drugs that the doctor will consider depending on the patient’s condition. Chemotherapy aims to kill the cancer cells.

How long can you live with chronic myeloid leukemia?

How long does it take for leukemia to heal?

How curable is leukemia?

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What is the newest form of treatment for leukemia?

The Food and Drug Administration (FDA) recently approved two new treatments for some adult patients with acute myeloid leukemia (AML): enasidenib (Idhifa®), a drug that targets aberrant forms of the IDH2 protein; and liposomal cytarabine-daunorubicin CPX-351 (Vyxeos™), a two-drug chemotherapy combination encapsulated ...Aug 28, 2017

What is the most treatable form of leukemia?

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

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.

How successful is chemotherapy for leukemia?

According to the American Cancer Society (ACS), around 90 percent of people with an AML type known as acute promyelocytic leukemia (APL) will go into remission after “induction” (first round) of chemo. For most other types of AML, the remission rate is around 67 percent.

What exams would be Performed?

As mentioned, your doctor will be requiring to perform series of exams to come up with the best treatment plan. Some of these exams may be anything from the following:

Treatment of Leukemia

Keep in mind that the treatment procedure for leukemia would be dictated by a number of different factors. Your doctor will be determining your options for leukemia treatment based on overall health and age, type of leukemia that you have and whether it began spreading in several parts of your body.

What is the treatment for leukemia?

Radiation Therapy . Radiation therapy uses high-energy rays to kill leukemia cells. Some people receive radiation from a large machine aimed at the spleen, brain or other parts of the body where leukemia cells have collected. Others may receive radiation that is directed to the whole body.

What is targeted therapy for leukemia?

Targeted Therapy. People with chronic myeloid leukemia and some with acute lymphoblastic leukemia may receive targeted therapies or drugs that block the growth of leukemia cells. Targeted therapies treat the cancer cells with less harm to normal cells.

How does chemo kill cancer cells?

Depending on the drug, chemotherapy can be given by mouth, into a vein through an IV, through a catheter or directly into the cerebrospinal fluid. Chemotherapy kills fast-growing leukemia cells, but the drug can also harm normal cells that divide rapidly, often causing side effects.

What is follow up care for leukemia?

Follow-up care depends on the type of leukemia and treatments used. It is very important to have a doctor check for recurrence of cancer. Even when the cancer seems to be completely destroyed, the disease sometimes returns after treatment. Follow-up care may include physical exams, blood tests, cytogenetics, x-rays, ...

Where do stem cells come from?

Stem cells may come from the person with leukemia or from donated stem cells. Stem cells can come from the blood, bone marrow or an umbilical cord. Treatments.

Can you put off lymphocytic leukemia?

People with chronic lymphocytic leukemia and no symptoms may be able to put off treatment, thereby avoiding the side effects of treatment. It is very important to see a doctor regularly so that treatment can be started when needed.

What is the treatment for leukemia?

Chemotherapy (drug treatment to destroy leukemia cells) is the mainstay of leukemia treatment, and may incorporate multiple types of drugs. Radiation and surgery are contemplated only for cases in which leukemia cells have collected in definitive areas.

How many drugs are given for leukemia?

Depending on the type of leukemia, you may receive a single drug or a combination of two or more drugs. The medications may be prescribed as pills, or as fluids administered through a needle or tube inserted into a vein; through a tube inserted in the chest; or through injection into the cerebrospinal fluid.

How does radiation kill leukemia?

Radiation therapy uses high-energy rays to kill leukemia cells by damaging the genetic material they contain . This treatment can be used adjunctively to chemotherapy to control disease or eradicate local areas of disease. Some patients receive targeted radiation from a large machine aimed at the spleen, brain or other parts of the body where leukemia cells have collected. This type of therapy takes place five days a week for several weeks. Others may receive radiation directed to the whole body. These sessions are given once or twice a day for a few days, usually before a stem cell transplant.

What is the name of the drug that silences genes?

Epigenetic agents, such as Vidaza or Decitabine (DNA methlyating agents) and histone deacetylase inhibitors , under development attempt to “unsilence” genes that have been silenced by acute leukemias and myelodysplastic syndrome (MDS).

What is the drug used for minimal residual leukemia?

Dose-intensive, curative chemotherapy for minimal residual leukemia. Pioneered clinical trials of the drug tipifarnib, known by its trade name Zarnestra, which blocks an enzyme called farnesyltransferase, which modifies certain cellular proteins so that they can attach to cellular membranes or other structures.

How long does radiation therapy last?

This type of therapy takes place five days a week for several weeks. Others may receive radiation directed to the whole body.

What is the process of methylation?

Studies of gene silencing through a process called methylation, which tags DNA with tiny chemicals that regulate the on/off switch of genes, have led to new clinical trials of drugs that inhibit this process in combination with drugs that block enzymes controlling gene expression.

What is the treatment for acute myeloid leukemia?

Acute Myeloid Leukemia (AML) A typical chemotherapy regimen for most types of AML includes: Ara-C (Cytarabine) An anthracycline, like Adriamycin (Doxorubicin) or Daunorubicin. If anthracyclines cannot be tolerated, Fludara (Fludarabine) or Etoposide may be used. Sometimes, Cladribine.

How does chemotherapy help with leukemia?

Chemotherapy works by directly killing or damaging rapidly dividing cells, including cancer cells, in your body.

What is the goal of consolidation therapy?

The goal of consolidation therapy, also known as post-remission therapy, is to destroy any remaining cancer cells and make sure leukemia will not relapse. Consolidation may include chemotherapy or a stem cell transplant.

What is the target of TKIs?

TKIs target a protein called the BCR-ABL tyrosine kinase enzyme, which is necessary for leukemia cells in some types of leukemia to survive. TKIs used to treat CML and ALL with the Philadelphia chromosome include:

What is a BTK inhibitor?

BTK inhibitors block the activity of a certain type of tyrosine kinase that cancer cells need to grow and stay alive. BTK inhibitors are used to treat CLL/SLL and some types of non-Hodgkin lymphoma (NHL), a type of blood cancer closely related to leukemia. The two BTK inhibitors currently used are Imbruvica (Ibrutinib) and Calquence (Acalabrutinib).

What are the different types of leukemia?

The four main types of leukemia are: Acute lymphoblastic leukemia (ALL) Acute myeloid leukemia (AML) Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) Chronic myeloid leukemia (CML, also known as chronic myelogenous leukemia) Each of these types has many subtypes, and some are also classified by stage.

How does chemotherapy work?

Most chemotherapy drugs work by interfering with the DNA of cancer cells, preventing them from growing or causing them to die. Chemotherapy drugs are often combined into regimens. Here are a few of the most common chemotherapy regimens used in the four major types of leukemia.

Does radiation kill cancer cells?

Radiation therapy uses high energy X-rays to kill cancer cells. Like chemotherapy, it also kills some normal cells and can cause similar side effects. You may need this treatment if:

Can you have surgery to remove lymph nodes?

Surgery is not a common treatment for leukemia. However, you may need surgery to remove a lymph node as part of your diagnosis. You may also need surgery if leukemia has invaded your spleen. If you have chronic lymphocytic leukemia, your spleen may get large enough to require surgery to remove it. Removing your spleen may improve some leukemia symptoms.

Is targeted therapy the same as radiation?

Targeted therapies for leukemia are not the same as chemotherapy or radiation. These treatments specifically target molecules on leukemia cells to destroy the cells or block their growth. Targeted therapy is only recommended for specific types of leukemia. People who have targeted treatment often have fewer side effects. Your doctor may do blood tests to see if you could benefit from this treatment.

What to do if you have chronic lymphocytic leukemia?

It’s important that you think carefully about each of your choices. Weigh the benefits of each treatment option against the possible risks and side effects.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

Why is it important to take time to think about CLL?

Common treatment approaches. It's important to take time and think about your choices. Because CLL often grows slowly, not everyone needs to be treated right away. In choosing a treatment plan, the stage of the leukemia and other prognostic factors are important.

Why is communicating with your cancer team important?

Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, ...

Why is it important to discuss treatment options with your doctor?

Making treatment decisions. It’s important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decision that best fits your needs. It’s also very important to ask questions if there's anything you’re not sure about.

What is complementary medicine?

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment.

What kind of doctor treats blood disorders?

These doctors could include: A hematologist: a doctor who treats blood disorders. You might have many other specialists on your treatment team as well, including physician assistants, nurse practitioners, nurses, nutrition specialists, social workers, and other health professionals.

What is the treatment for acute myeloid leukemia?

Treatment of adult acute myeloid leukemia (AML) during the remission phase depends on the subtype of AML and may include the following: Combination chemotherapy. High-dose chemotherapy, with or without radiation therapy, and stem cell transplant using the patient's stem cells . High-dose chemotherapy and stem cell transplant using donor stem ...

What is the drug used to treat acute leukemia?

Other drug therapy. Arsenic trioxide and all-trans retinoic acid (ATRA) are anticancer drugs that kill leukemia cells, stop the leukemia cells from dividing, or help the leukemia cells mature into white blood cells. These drugs are used in the treatment of a subtype of AML called acute promyelocytic leukemia.

What is the extent of cancer?

In adult acute myeloid leukemia (AML), the subtype of AML and whether the leukemia has spread outside the blood and bone marrow are used instead of the stage to plan treatment.

What is the difference between AML and AML?

Adult acute myeloid leukemia (AML) is a type of cancer in which the bone marrow makes abnormal myeloblasts (a type of white blood cell), red blood cells, or platelets. Adult acute myeloid leukemia (AML) is a cancer of the blood and bone marrow. This type of cancer usually gets worse quickly if it is not treated.

What is PDQ cancer?

This PDQ cancer information summary has current information about the treatment of adult acute myeloid leukemia. It is meant to inform and help patients, families, and caregivers. It does not give formal guidelines or recommendations for making decisions about health care.

How does chemo work?

Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body ( systemic chemotherapy ). When chemotherapy is placed directly into the cerebrospinal fluid ( intrathecal chemotherapy ), an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas ( regional chemotherapy ). Intrathecal chemotherapy may be used to treat adult AML that has spread to the brain and spinal cord. Combination chemotherapy is treatment using more than one anticancer drug.

How many phases of AML treatment?

The treatment of adult AML usually has 2 phases. The 2 treatment phases of adult AML are: Remission induction therapy: This is the first phase of treatment. The goal is to kill the leukemia cells in the blood and bone marrow.

What is the best treatment for leukemia?

Another type of treatment for leukemia is biological treatment . This therapy focuses on improving the immune system for it to perform its normal functions, so that it can identify and attack unhealthy cancer cells and eventually kill them.

How does chemotherapy help with leukemia?

Chemotherapy is the most common treatment and plays a major role in the treatment of leukemia. For chemotherapy, there are several drugs that the doctor will consider depending on the patient’s condition. Chemotherapy aims to kill the cancer cells. A patient undergoing chemotherapy may have to be subjected to several sessions with possibly different drug combinations. Such drugs may be taken orally or introduced into the body intravenously. For the latter, hospitalization is required. The doctor will closely monitor the patient’s reaction to the drug therapy and determine whether the medication needs to be adjusted or replaced for the upcoming sessions. The patient’s overall health is also looked after and considered while he or she is undergoing this type of treatment.

What is radiation therapy?

Radiation therapy uses x-rays or other high-energy beams to target specific leukemia cells, aiming to interfere with their rapid growth and division. Undergoing radiation therapy requires hospitalization. The patient lies on a table, and either radiation beams are directed at specific parts of the body previously determined to have a high level of cancer cells, or the entire body is subjected to radiation.

Does stem cell transplant kill leukemia?

This therapy involves additional chemotherapy or a stem cell transplant and aims to kill any leukemia cells that may be present even though they are not detected by tests. The doctor may also encourage the patient to join a clinical trial for a new treatment.

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Diagnosis

Clinical Trials

Coping and Support

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves chemotherapy, radiation therapy and stem cell transplantation.
Medication

Chemotherapy: Depending on the type of leukemia, single or combinations of drugs may be required to destroy leukemia cells.

Methotrexate


Monoclonal antibodies: Biological or immune therapy uses treatments that help the immune system recognize and attack cancer cells.

Rituximab


Targeted therapy drugs: Other treatment option includes targeted therapy, uses specific drug that targets only cancerous cells.

Imatinib

Procedures

Stem cell transplantation: Diseased bone marrow is replaced with healthy bone marrow, either from other parts of the body or from a donor.

Therapy

Radiation therapy:To damage leukemia cells and inhibit their growth. Applied to a specific area or entire body depending on the severity.

Nutrition

Foods to eat:

  • Balanced healthy diet such as
  • Variety of fruits and vegetables
  • Whole grains
  • Fat free or low Fat dairy
  • Low Fat proteins such as poultry or lean meat
  • Healthy oils like olive oil

Foods to avoid:

  • Dry-cured, uncooked salami
  • Unpasteurized (raw) milk and milk products, including raw milk yogurt
  • Soft cheeses made from Unpasteurized milk

Specialist to consult

Oncologist
Specializes in the diagnosis and treatment of cancer.
Hematologist
Specializes in the study of the blood and blood disorders.

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