What is Leukemia (Blood Cancer)? 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 usually involves the white blood cells. Your white blood cells are potent infection fighters — they normally grow and divide in an orderly way, as your body needs them. But in people with leukemia, the bone marrow produces an excessive amount of abnormal white blood cells, which don't function properly.
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.
Leukemia occurs when the bone marrow makes abnormal blood cells, usually white blood cells, which do not function as they should. The abnormal cells survive longer, build up in large numbers, and enter the bloodstream.
Leukemia is a cancer of the blood, so its impact begins in your blood cells. First, your body begins producing too many immature white blood cells. These cells are cancerous and overwhelm the other cells in your bloodstream. Over time, this can affect your red blood cells, platelets, and healthy 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.
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.
Age-specific incidence rates fall gradually from age 0-4 and remain stable throughout childhood and early adulthood, rates rise sharply from around age 55-59. The highest rates are in in the 85 to 89 age group for females and males. Incidence rates are significantly lower in females than males in most age groups.
If caught early, leukemia can be cured by undergoing several cancer treatments.
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.
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.
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.
In the United States, overall, 5-year survival among people diagnosed with leukemia is 65%. However, these statistics vary greatly according to the specific subtype of disease: Chronic lymphocytic leukemia (CLL) 5-year survival rate is 85.4%. Acute lymphocytic leukemia (ALL) 5-year survival rate is 68.8%.
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.
The cause of acute leukaemia is unknown, but factors that put some people at higher risk are: exposure to intense radiation. exposure to certain chemicals, such as benzene. viruses like the Human T-Cell leukaemia virus.
Chronic Leukemia May Go Undetected
It may take months or even several years before the disease begins to cause symptoms that alert the patient that something is wrong.
CLL has a very high incidence rate in people older than 60 years. CLL affects men more than women. If the disease has affected the B cells, the person's life expectancy can range from 10 to 20 years.
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.
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.
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.
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.
Spotting bone and joint pain
Bone pain caused by leukaemia is most commonly felt in the long bones of the arms and legs, or in the ribs and sternum of the rib cage.
Bone and joint pain are seen as presenting symptoms in 25% of patients with acute leukemia, but generalized osteopenia and vertebral complications are less common. Back pain due to vertebral changes as an early feature has been infrequently reported.