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Leukemia

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Leukemia is a complex group of blood cancers that primarily originate in the bone marrow.

Leukemia- SAG
Leukemia- SAG

The disease is characterized by the production of high numbers of abnormal, immature blood cells. These cells are often called blasts or leukemia cells because they are not fully developed. Because these abnormal cells crowd the bone marrow, the body struggles to produce healthy, functional cells. This lack of normal blood cells leads to various medical symptoms. These symptoms include fatigue, fever, bone pain, and an increased risk of infections.

Symptoms of leukemia
Symptoms of leukemia

People may also experience easy bruising or bleeding due to low platelet counts.

The way leukemia progresses depends on the speed of cell growth. Doctors divide the disease into acute and chronic forms. Acute leukemia involves a rapid increase in the number of immature blood cells. These malignant cells accumulate quickly and can spill into the bloodstream to affect other organs. Because of this rapid progression, acute leukemia requires immediate medical treatment.

In contrast, chronic leukemia is characterized by the buildup of relatively mature but still abnormal cells. This process typically takes months or even years to progress. Because chronic forms move more slowly, doctors sometimes use watchful waiting to monitor the patient before starting therapy.

Scientists further classify leukemia based on the specific type of cell affected. This creates four main categories. Lymphoblastic or lymphocytic leukemias occur when the cancerous change happens in cells that normally become lymphocytes. Lymphocytes are part of the immune system and help fight infections. Most of these involve a subtype called B cells. Myeloid or myelogenous leukemias affect cells that normally become red blood cells, certain white cells, or platelets. By combining these two classifications, doctors identify the four major types: acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), and chronic myeloid leukemia (CML).

Each of these four types has unique characteristics and impacts different age groups. Acute lymphoblastic leukemia (ALL) is the most common type found in young children. However, 80% of deaths from ALL actually occur in adults. Chronic lymphocytic leukemia (CLL) mostly affects adults over the age of 55 and almost never affects children. Two-thirds of people with CLL are men. Acute myeloid leukemia (AML) is much more common in adults than in children and is more frequent in men. Finally, chronic myeloid leukemia (CML) occurs mainly in adults, though a very small number of children can develop it.

Leukemia- SAG
Leukemia- SAG

While the exact cause of leukemia is still unknown, several factors are believed to play a role. It is thought to be a combination of genetic factors and environmental factors. Some known risk factors include smoking, ionizing radiation, and exposure to petrochemicals like benzene. A history of prior chemotherapy or having Down syndrome can also increase risk. People with a family history of the disease are at a higher risk as well. Diagnosis is usually achieved through blood tests or a bone marrow biopsy to look for abnormal cells under a microscope.

Medical outcomes for leukemia have improved significantly in the developed world. In the United States, the five-year survival rate was 68% between 2015 and 2021. For children under 15 in first-world countries, the survival rate can be greater than 60% or even 90%, depending on the specific type. For infants diagnosed under age one, the survival rate is approximately 40%. If a child with acute leukemia remains cancer-free for five years, the cancer is unlikely to return. However, the disease remains a major global health issue. In 2015, leukemia was present in 2.3 million people worldwide and caused 353,500 deaths.

Leukaemia world map-Deaths per million persons-WHO2012
Leukaemia world map-Deaths per million persons-WHO2012

Treatment strategies vary depending on the type of leukemia and the patient's age. Common treatments include chemotherapy, radiation therapy, and targeted therapy. Some patients may also require a bone marrow transplant. Supportive and palliative care are also provided to help manage symptoms. Because leukemia affects the hematopoietic and lymphoid systems, it is part of a broader group of tumors affecting blood and immune tissues. Understanding these different cell types and growth rates helps doctors choose the most effective way to manage the disease.

Young patient holds teddy bear
Young patient holds teddy bear
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Leukemia- SAG.jpg
File:Young patient holds teddy bear.jpg
Young patient holds teddy bear.jpg
File:Leukaemia world map-Deaths per million persons-WHO2012.svg
Leukaemia world map-Deaths per million...
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Rudolf Virchow.jpg
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