Treatment FAQ

when do you usually need treatment for leukemia

by Arnulfo Hessel MD Published 2 years ago Updated 2 years ago
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Medication

What Is Leukemia? Leukemia is a blood cancer caused by a rise in the number of white blood cells in your body. Those white blood cells crowd out the red blood cells and platelets that your body needs to be healthy. The extra white blood cells don’t work right. Different types of leukemia can cause different problems.

Procedures

Maintenance usually lasts for about 2 years. CNS prophylaxis/treatment is typically continued at this time. In general, about 80% to 90% of adults will have complete remissions at some point during these treatments. This means leukemia cells can no longer be seen in their bone marrow.

Therapy

This type of leukemia is mostly diagnosed in younger people under age 20. The median age at diagnosis is 17, but the median age in people who die from this type of leukemia is 58. Survival rates are pretty even across all ages, and the relative survival rate for all ages is 69.9%.

Nutrition

For example, the drug imatinib (Gleevec) stops the action of a protein within the leukemia cells of people with chronic myelogenous leukemia. This can help control the disease. Radiation therapy. Radiation therapy uses X-rays or other high-energy beams to damage leukemia cells and stop their growth.

What is leukemia and how is it treated?

What is the duration of treatment for adult leukemia?

How old do you have to be to have leukemia?

What is the best treatment for chronic myelogenous leukemia?

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Does leukemia always need treatment?

Some people with CLL can live for years without treatment, but over time, most will need to be treated. Most people with CLL are treated on and off for years. Treatment may stop for a while, but it never really ends. Life after cancer means returning to some familiar things and also making some new choices.

How soon after leukemia diagnosis does treatment start?

Remission induction therapy. This is the first round of treatment given during the first 3 to 4 weeks after diagnosis. It is designed to destroy most of the leukemia cells, stop symptoms of the disease, and return the blood counts to normal levels.

What kind of leukemia does not need treatment?

Chronic lymphocytic leukemia is typically a slow-growing cancer that may not require treatment. While some people may refer to this as a "good" type of cancer, it doesn't really make receiving a cancer diagnosis any easier.

Is leukemia treatable in early stages?

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.

What were your first symptoms of leukemia?

Common leukemia signs and symptoms include:Fever or chills.Persistent fatigue, weakness.Frequent or severe infections.Losing weight without trying.Swollen lymph nodes, enlarged liver or spleen.Easy bleeding or bruising.Recurrent nosebleeds.Tiny red spots in your skin (petechiae)More items...

What to do when you've been diagnosed with leukemia?

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.

Do you feel ill with leukemia?

People often feel ill quite quickly. Most symptoms of acute leukaemia are caused by leukaemia cells filling the bone marrow. This means healthy blood cells do not move into the blood as normal.

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.

Can leukemia come on slowly?

Chronic lymphocytic leukaemia is a type of cancer that affects the white blood cells and tends to progress slowly over many years. It mostly affects people over the age of 60 and is rare in people under 40. Children are almost never affected.

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.

What is the first stage of leukemia?

Stages of Chronic Leukemia Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.

What are the six signs of leukemia?

The common symptoms of leukemia in adults can be very similar to other illnesses and include things like fatigue and fever....Leukemia in adults ages 65 and olderunexplained weight loss.swollen lymph nodes.feelings of fatigue or weakness.easy bruising or bleeding.shortness of breath.fever or night sweats.

What is HPSCT?

A bone marrow transplant, or HPSCT, is the process of replacing blood cells in the body. To do this, healthy blood stem cells are injected into the body. These stem cells travel to the bone marrow where they replace the current stem cells called hematopoietic stem cells.

How is it done?

Receiving stem cells is similar to receiving a blood transfusion. A needle may be inserted into a large vein in your arm, or you may have a central venous catheter placed in a blood vessel in the right side of your chest and the stems cells will flow into your heart.

What are the side effects and risks?

Complications may occur, but not everyone will experience them. Complications may include:

What is chemotherapy?

Chemotherapy uses strong drugs or chemicals, sometimes in combination, to damage or kill cancer cells. This treatment is systemic, which means chemotherapy drugs attack cancer cells, which tend to be fast-growing. However, these drugs can also affect healthy cells.

How is it given?

Chemotherapy can be given orally as a pill, capsule, or liquid, but most of the time, the drugs are given intravenously, through a catheter or central line. This is a port-like device attached to one of your veins that allows you to receive intravenous drugs.

Which types of leukemia may be treated with this?

All four main types of leukemia may be treated with chemotherapy. In ALL, AML, and CLL, it’s the first and main treatment. For CML, targeted therapies are typically used first, followed by chemotherapy.

What are the side effects and risks?

As with any medical treatment, there are side effects with chemotherapy depending on the drug used, dosage, and how long you take it.

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 acute lymphocytic leukemia?

The main treatment for acute lymphocytic leukemia (ALL) in adults is typically long-term chemotherapy (chemo). In recent years, doctors have begun to use more intensive chemo regimens, which has led to more responses to treatment. But these regimens are also more likely to cause side effects, such as low white blood cell counts.

How long does chemo last for leukemia?

This typically lasts for a few months. Usually the drugs are given in high doses so that the treatment is still fairly intense.

What is the goal of induction chemo?

The goal of induction chemo is to get the leukemia into remission (complete remission). This means that leukemia cells are no longer found in bone marrow samples (on a bone marrow biopsy ), the normal marrow cells return, and the blood counts return to normal levels.

How long does imatinib last?

Maintenance usually lasts for about 2 years.

How many people have complete remission from leukemia?

Response rates to ALL treatment. In general, about 80% to 90% of adults will have complete remissions at some point during these treatments. This means leukemia cells can no longer be seen in their bone marrow. Unfortunately, about half of these patients relapse, so the overall cure rate is in the range of 40%.

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.

What is the best treatment for B cell ALL?

Monoclonal antibodies such as blinatumomab (Blincyto) or inotuzumab ozogamicin (Besponsa) may be an option for patients with B-cell ALL. A stem cell transplant may be tried if the leukemia can be put into at least partial remission. Clinical trials of new treatment approaches may also be considered.

What is the cause of leukemia?

Leukemia is a blood cancer caused by a rise in the number of white blood cells in your body. Those white blood cells crowd out the red blood cells and platelets that your body needs to be healthy. The extra white blood cells don’t work right.

How is leukemia grouped?

Leukemia is grouped by how fast it develops and gets worse, and by which type of blood cell is involved. The first group, how fast it develops, is divided into acute and chronic leukemia. Acute leukemia happens when most of the abnormal blood cells don’t mature and can’t carry out normal functions.

How do stem cells work in leukemia?

This treatment can stop the signals that leukemia cells use to grow and divide, cut off their blood supply, or kill them directly. A stem cell transplant replaces the leukemia cells in your bone marrow with new ones that make blood. Your doctor can get the new stem cells from your own body or from a donor.

What is the second most common form of childhood leukemia?

Acute myelogenous leukemia ( AML ). This is the second most common form of childhood leukemia and one of the most common forms for adults. Chronic lymphocytic leukemia ( CLL ). This is the other most common form of adult leukemia. Some kinds of CLL will be stable for years and won’t need treatment.

What type of leukemia is a type of white blood cell?

Lymphocytic (or lymphoblastic) leukemia involves bone marrow cells that become lymphocytes, a kind of white blood cell. Myelogenous (or myeloid) leukemia involves the marrow cells that create red blood cells, platelets, and other kinds of white blood cells. Types of leukemia. The four main types of leukemia are:

How to kill cancer cells in bone marrow?

The main options are: Chemotherapy uses drugs to kill cancer cells in your blood and bone marrow. You can get the medicine: Radiation uses high-energy X-rays to kill leukemia cells or keep them from growing. You can get it all over or in only one part of your body where there are a lot of cancer cells.

How does radiation kill leukemia?

Radiation uses high-energy X-rays to kill leukemia cells or keep them from growing. You can get it all over or in only one part of your body where there are a lot of cancer cells. Biologic therapy, also called immunotherapy, helps your immune system find and attack cancer cells.

How to treat lymphocytic leukemia?

If you need treatment for chronic lymphocytic leukemia (CLL), you'll get a bone marrow aspiration and biopsy: Aspiration: Your doctor puts a thin, hollow needle into the bone (usually, your hip) to take out a small amount of liquid marrow. Biopsy: Your doctor uses a slightly larger needle to remove a small amount of bone, marrow, and blood.

How to tell if CLL is in your body?

Your doctor will do both procedures during the same visit. By checking the samples under a microscope for abnormal cells , your doctor can tell how much CLL is in your body and how fast it's moving.

Is there medical advice on WebMD?

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Can you ignore medical advice?

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Diagnosis

Clinical Trials

Coping and Support

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
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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