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.
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.
Acute myelogenous leukemia (AML) can happen at any age, but most cases happen in kids younger than 2 and teens. Chronic myelogenous leukemia is most common in teens. Juvenile myelomonocytic leukemia (JMML) affects infants and toddlers.
About 1.5% of people in the United States—almost 5 million—will be diagnosed with leukemia in their lifetime. Although there are several risk factors for the disease, it is strongly related to age.
"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."
Persistent fatigue, weakness. Frequent or severe infections. Losing weight without trying. Swollen lymph nodes, enlarged liver or spleen.
Acute leukemias — which are incredibly rare — are the most rapidly progressing cancer we know of. The white cells in the blood grow very quickly, over a matter of days to weeks. Sometimes a patient with acute leukemia has no symptoms or has normal blood work even a few weeks or months before the diagnosis.
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.
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.
If caught early, leukemia can be cured by undergoing several cancer treatments.
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.
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.
For many types of cancers, finding the cancer early makes it easier to treat. The American Cancer Society recommends screening tests for early detection of certain cancers in people without any symptoms. But at this time there are no special tests recommended to detect acute lymphocytic leukemia (ALL) early.
During the progression of leukemia, white blood cells (neoplastic leukocytes) found in bone marrow may begin to filter into the layers of the skin, resulting in skin lesions. “It looks like red-brown to purple firm bumps or nodules and represents the leukemia cells depositing in the skin,” Forrestel says.
The 5-year survival rate for people age 20 and older is 40%. The 5-year survival rate for people under age 20 is 89%. Recent advances in treatment have significantly lengthened the lives of people with ALL. However, survival rates depend on several factors, including biologic features of the disease and a person's age.
Increasingly, researchers are finding that leukemia may run in a family due to inherited gene mutations. AML occurs more often in people with the following inherited disorders: Down syndrome. Ataxia telangiectasia.
Clinical and epidemiological studies have shown that stress-related biobehavioral factors are associated with accelerated progression of several types of cancer, including solid epithelial tumors and hematopoietic tumors such as leukemia (Antoni et al., 2006; Chida et al., 2008).
Small red spots (petechiae)
Small, pinhead-sized red spots on the skin (called “petechiae”) may be a sign of leukaemia. These small red spots are actually very small bruises that cluster so that they look like a rash.
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.
Exposure to high levels of radiation and certain chemicals are the main risk factors we know about for leukemia, particularly acute myeloid leukemia (AML). Our researchers have led efforts to identify many genes that are associated with the disease and that can guide us in selecting the most-effective treatment.
Tiny spots called petechiae
One symptom that some people with leukemia might notice is tiny red spots on their skin. These pinpoints of blood are called petechiae. On fair and light skin tones, these may appear as red dots. On darker skin tones, they may be darker than the surrounding skin and less noticeable.
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.
In some cases, your doctor might order bone marrow testing even though your blood tests didn't indicate leukemia. That's because in some types of leukemia, cancer cells stay in the bone marrow and don't circulate in the blood.
Leukemia is commonly misdiagnosed as the following conditions: Influenza. Fever. Pathological fracture.