| Leukemia is a cancer of blood-forming cells in the | | | | children with Down's syndrome, which is a genetically |
| bone marrow. These deranged, immature cells | | | | linked chromosomal abnormality (usually an extra |
| accumulate in the blood and within organs of the | | | | copy of chromosome 21). Three rare inherited |
| body. They are not able to carry out the normal | | | | disorders-Fanconi's anemia, Bloom's syndrome, and |
| functions of blood cells. Normal blood contains 3 | | | | ataxia telangiectasia-also have an increased risk for |
| major groups of cells: white blood cells, red blood | | | | leukemia. |
| cells, and platelets. All 3 types of blood cells develop | | | | Treatment for Leukemia |
| from one immature cell type, called blood/marrow | | | | Chemotherapy: Chemotherapy is the major form of |
| stem cells, in a process called hematopoiesis. | | | | treatment for leukemia. This treatment uses chemical |
| In leukemia, your bone marrow produces a large | | | | agents to kill leukemia cells. Depending on the type of |
| number of abnormal white blood cells. They look | | | | leukemia you have, you may receive a single drug or |
| different from normal blood cells and don't function | | | | a combination of one or more drugs. These drugs |
| properly. Eventually, they block production of normal | | | | may come in a pill form, or they may be injected |
| white blood cells, impairing your ability to fight off | | | | directly into a vein. |
| infection. Leukemia cells also crowd out other types | | | | Interferon Therapy: Interferons are a class of |
| of blood cells produced by the bone marrow, including | | | | proteins that are released by virus-infected cells. |
| red blood cells, which carry oxygen to tissues | | | | They help normal cells to make antiviral proteins. |
| throughout your body, and platelets, which help form | | | | Interferons also help the body to reduce leukemia cell |
| blood clots. | | | | proliferation (growth and reproduction), while |
| Causes of Leukemia | | | | strengthening the body's immune response. |
| Acute leukemia: In acute leukemia, the abnormal | | | | Kinase inhibitors: For most people with CML, the drug |
| blood cells are immature blood cells (blasts). They | | | | imatinib mesylate (Gleevec) is the first line of therapy. |
| can't carry out their normal work, and they multiply | | | | Imatinib mesylate is a type of cancer drug called a |
| rapidly, so the disease worsens quickly. Acute | | | | kinase inhibitor. It was specifically developed to inhibit |
| leukemia requires aggressive, timely treatment. | | | | the BCR-ABL protein, and it has proved effective in |
| Viruses: The human T-cell leukemia virus I (HTLV-I) is | | | | treating the early stages of chronic myelogenous |
| related to acute T-cell leukemia. This type of | | | | leukemia. Several newer kinase inhibitors are in |
| leukemia is well documented in parts of the Caribbean | | | | development. |
| and Asia, but it is uncommon in the United States and | | | | Surgery is generally not used to treat leukemia. |
| Europe. Higher rates of leukemias also have been | | | | Occasionally, a person with leukemia that has spread |
| reported in workers who are exposed to animal | | | | to the spleen has the spleen removed. This is usually |
| viruses (e.g., butchers, slaughterhouse workers, | | | | done only if the spleen is so large that it is causing |
| veterinary practitioners). | | | | problems for nearby organs. |
| Chronic leukemia: This type of leukemia involves more | | | | Radiation therapy: Radiation therapy uses X-rays or |
| mature blood cells. These blood cells replicate or | | | | other high-energy rays to damage leukemia cells and |
| accumulate more slowly and can function normally for | | | | stop their growth. You may receive radiation in one |
| a period of time. Some forms of chronic leukemia | | | | specific area of your body where there is a collection |
| produce no signs or symptoms and can go unnoticed | | | | of leukemia cells, or you may receive radiation |
| or undiagnosed for years. | | | | directed at your whole body. |
| Genetics-Leukemia risk is increased 15-fold among | | | | |