Leukemia is commonly misdiagnosed as the following conditions: Influenza. Fever. Pathological fracture.
Chronic leukemia symptoms can also involve infections, bleeding and fatigue. But they tend to develop more slowly than with acute leukemia cases, so they're not as noticeable. Symptoms are often attributed to other things, too, such as stress, allergies or a virus.
In fact, up to 1 in 5 cases of cancer may be initially misdiagnosed, according to ABCNews. Our attorneys have heard numerous horror stories from leukemia patients who describe traveling from specialist to specialist, often at great expense, only to have their disease misdiagnosed at every turn.
Myelodysplastic syndrome (MDS) used to be known as “pre-leukemia,” or sometimes “smoldering leukemia.” MDS is a group of blood disorders that can cause you to have low levels of: red blood cells. white blood cells. platelets.
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.
Some symptoms, like night sweats, fever, fatigue and achiness, resemble flu-like symptoms. Unlike symptoms of the flu, which generally subside as you get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising.
"A patient may be tested for leukemia if he or she has unexplained weight loss, night sweats or fatigue, or if he or she bruises or bleeds easily," Dr. Siddon says. "Sometimes routine blood work shows an unexplained elevated number of white blood cells."
The most common leukemia biomarkers are CD (cluster of differentiation) markers, an extremely diverse series of membrane proteins predominantly expressed on the leukocyte surface. CD markers are mostly useful for classifying white blood cells (WBC) and especially important for diagnosis of lymphomas and leukemias.
At the time of diagnosis, patients can have very, very high white blood cell counts. Typically a healthy person has a white blood cell count of about 4,000-11,000. Patients with acute or even chronic leukemia may come in with a white blood cell count up into the 100,000-400,000 range.
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 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.
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.
However, only 4% of adults with acute leukemia present with musculoskeletal manifestations. These patients often have relatively normal blood cell counts and a lower incidence of organomegaly. This form of presentation can lead to delays in the diagnosis of acute leukemia in adults.
For instance, leukemia, a cancer that affects the body's blood-forming tissues, can sometimes be detected in a routine blood test. Specifically, the CBC test measures the levels of the various types of blood cells circulating in the bloodstream, including red blood cells, white blood cells and platelets.
Complete blood count (CBC): This blood test lets your healthcare provider know if you have abnormal levels of red blood cells, white blood cells and platelets. If you have leukemia, you'll likely have higher than normal counts of white blood cells.
Leukemia or myelodysplastic syndromes (MDS) can cause bone or joint pain, usually because your bone marrow has become overcrowded with cancer cells. At times, these cells may form a mass near the spinal cord's nerves or in the joints.
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.
Cancers (including ALL) can be caused by mutations (changes) that turn on oncogenes or turn off tumor suppressor genes. These types of changes can stop bone marrow cells from maturing the way they normally would, or help the cells grow out of control.
Some leukemia symptoms, such as fever, vomiting, fatigue, aches and night sweats often resemble the cold, flu or other common illness. If symptoms don't go away at a normal pace (1-2 weeks), or you notice a combination of these symptoms at one time, make an appointment with your doctor for a diagnosis.
If caught early, leukemia can be cured by undergoing several cancer treatments.
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.
They occur in unusual places – In cases of leukaemia, quite often bruises will appear in places that you wouldn't normally expect, especially; the back, legs, and hands.
Leukemia cutis appears as red or purplish red, and it occasionally looks dark red or brown. It affects the outer skin layer, the inner skin layer, and the layer of tissue beneath the skin. The rash can involve flushed skin, plaques, and scaly lesions. It most commonly appears on the trunk, arms, and legs.