Chronic leukemia involves more-mature blood cells. These blood cells replicate or accumulate more slowly and can function normally for a period of time. Some forms of chronic leukemia initially produce no early symptoms and can go unnoticed or undiagnosed for years.
In CLL, the leukemia cells grow out of control and crowd out normal blood cells. These cells often build up slowly over time. Many people don't have any symptoms for at least a few years. In time, the cells can spread to other parts of the body, including the lymph nodes, liver, and spleen.
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.
Leukemia can develop at any age, but certain types of leukemia are more common in different stages of life. Some are more common in children or in adults. It's important to note that childhood leukemia is still a rare disease, in general.
Leukemia can produce a variety of symptoms, although most are not often apparent in the earliest stages of the malignancy. The most common symptoms of leukemia—fatigue, pale skin, weight loss and night sweats—are often attributed to other less serious conditions, such as the flu.
Persistent fatigue, weakness. Frequent or severe infections. Losing weight without trying. Swollen lymph nodes, enlarged liver or spleen.
If this disease is left untreated, a person with leukemia becomes increasingly susceptible to fatigue, excessive bleeding and infections until, finally, the body becomes virtually defenseless, making every minor injury or infection very serious. Leukemia may be fatal.
While the exact cause of leukemia—or any cancer, for that matter—is unknown, there are several risk factors that have been identified, such as radiation exposure, previous cancer treatment and being over the age of 65.
Age: The risk of most leukemias increase with age. The median age of a patient diagnosed with acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL) or chronic myeloid leukemia (CML) is 65 years and older. However, most cases of acute lymphocytic leukemia (ALL) occur in people under 20 years old.
Chronic Leukemia May Go Undetected
Unlike acute leukemia, chronic leukemia develops slowly. It may take months or even several years before the disease begins to cause symptoms that alert the patient that something is wrong.
Acute leukemia symptoms can often appear suddenly
With acute leukemia, symptoms tend to develop very quickly. You may suddenly spike a fever that won't go away, develop an infection for no apparent reason, or start bleeding spontaneously from your nose or gums and not be able to stop it.
By looking at a sample of your blood, your doctor can determine if you have abnormal levels of red or white blood cells or platelets — which may suggest leukemia. A blood test may also show the presence of leukemia cells, though not all types of leukemia cause the leukemia cells to circulate in the blood.
If caught early, leukemia can be cured by undergoing several cancer treatments.
So while you may be able to see if you have genetic markers for future cancer development, there's currently no home test available that can tell you whether you have leukemia currently. Possible tests available for home use can give you an idea of your overall health and risk factors, but they can't diagnose leukemia.
Leukemia starts in the soft, inner part of the bones (bone marrow), but often moves quickly into the blood. It can then spread to other parts of the body, such as the lymph nodes, spleen, liver, central nervous system and other organs.
Leukemia begins in bone marrow, the soft spongy tissue in the inner cavity of your bones, where your body's blood cells are made. Blood cells go through multiple stages before reaching their fully mature forms.
Age – Generally speaking, individuals over the age of 65 are more at risk for leukemia. Demographics – While anyone can conceivably develop leukemia, white males are statistically most susceptible. Radiation exposure – Exposure to radiation from an atomic bomb increases the likelihood that leukemia cells will form.
Chronic leukemia often causes only a few symptoms or none at all. Signs and symptoms usually develop gradually. People with a chronic leukemia often complain that they just do not feel well.
Leukemia is commonly misdiagnosed as the following conditions: Influenza. Fever. Pathological fracture.
Your doctor will conduct a complete blood count (CBC) to determine if you have leukemia. This test may reveal if you have leukemic cells. Abnormal levels of white blood cells and abnormally low red blood cell or platelet counts can also indicate leukemia.
Bone pain can occur in leukemia patients when the bone marrow expands from the accumulation of abnormal white blood cells and may manifest as a sharp pain or a dull pain, depending on the location. The long bones of the legs and arms are the most common location to experience this pain.
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.