Doctor insights on:
Acute Lymphocytic Leukemia And Neupogen
A karyotype is ...: A technique that lets us see the gross structural features of the chromosomes in a cell. Cells are forced to enter mitosis but then are arrested in metaphase with a drug called nocodazole. The chromosomes can the be seen under the microscop which lets is see their number and structure. All cells can have multiple abnormalities that can be seen by karyotype, but may be normal as well. ...Read moreSee 2 more doctor answers
A malignant hematologic neoplasm that originates in the bone marrow and represents a clonal proliferation of hematopoietic elements belonging to any of the myeloid, lymphoid, erythroid, and megakaryocytic lineages. Of note, other hematologic neoplasms like lymphoma or myeloma may demonstrate a leukemic phase without actually originating in the bone marrow ...Read more
No. : Gross structural changes in chromosome number and structure can be identified by karyotype. There are many such changes associated with all development, yet many all patients have normal karyotypes. This doesn't mean mutations are absent. Modern techniques let us see changes across the genome at single nucleotide resolution. The critical role of epigenetic change is now also firmly established. ...Read moreSee 1 more doctor answer
Differs depending...: On the subtype of all, age and risk stratification. Pts with b-cell phenotypes tend to do better than those with t-cell dz. Children tend to do better than adolescents and adults. There are also several molecular abnormalities with prognostic significance. Not enough room here to list. Taking all comers, survival among adults is 40-50% while for children, 80-85%. Ask if you need more specifics. ...Read moreSee 1 more doctor answer
Interrupted: The regular schooling will be interrupted for several months to a year perhaps or could be a bit longer sometimes- while receiving chemotherapy and +/- if transplantation is required. After everything is completed and if complete cure is achieved- and no major complication from the treatment, he should/would be able to resume regular schooling. ...Read moreSee 1 more doctor answer
I believe you have: These diagnoses confused. Chronic leukemias display an elevated # of wbcs with morphologic and functional features similar to the mature cells of that lineage (lymphoid-cll vs myeloid-cml). Think of it as not turning off the spigot when the bucket is full. Acute leukemias have features of immature cells for a lineage (aml vs all). Acute leukemias can arise from chronic ones. This is blast crisis. ...Read moreSee 2 more doctor answers
2.8/100,000: Acute leukemia is the most common form of cancer in children, comprises approximately 30% of all childhood malignancies, with acute lymphoblastic leukemia being 5 times more common than acute myeloid leukemia. Approximately 2500 to 3500 new cases of all are diagnosed in children each year in the United States with an incidence of 2.8 cases per 100, 000. ...Read more
20-30: It depend to the type of ALL ,B cell ,T cell ,age of diagnosis ,bellow 2 years or above 9 years ,CNS involvement at diagnosis,but about 20-25% ...Read more
Different ways: Although the word leukemia refers to cancerous white cells in the blood, many times the disease is growing so fast in the bone marrow that these cells never enter the blood and also, since they crowd out normal blood cells in the marrow, these are also decreased or absent in the blood leading to problems with infection, bleeding profound weakness. ...Read moreSee 2 more doctor answers
See below...: Usually the WBC (white blood cell) count is significantly increased and continues to increase if the leukemia is left untreated. Anemia (low rbc count and hemoglobin) and thrombocytopenia (low platelets) are also common findings. The leukemic cells traveling in the blood may infiltrate various organs. Very high WBC counts may cause increased viscosity of the blood resulting in thrombosis (clot). ...Read moreSee 2 more doctor answers
Types of cells: White blood cells are different with different mechanisms to pretect body from infections. Acute myeloid leukemia arise from a type of white cells called myeloid series or neutophils, cut lymphoblastic leukemiaa arise from lymph type of white cells. These two types of leukemia have different treatments and the outcome or expectations are very different, none is better than the other in general. ...Read more
My baby girl was diagnosed with acute lymphocytic leukemia in 2006, and now he is diagnosed w/ aml. Is this possible?
Very sad but..: This is a terrible situation. Unfortunately sometimes the treatment for acute lymphocytic leukemia can lead to damage of the normal bone marrow cells and lead to a secondary AML (acute myeloid leukemia). It sounds like that may have happened in this case. So sorry to hear this. ...Read moreSee 1 more doctor answer
If a young child is diagnosed with acute lymphocytic leukemia why is the infection a problem when her WBC is counted?
ALL infection risk: Patients with leukemia are at risk for life threatening infections throughout their treatment. At diagnosis, the WBC count may be low, normal or high, but regardless, the wbcs they have are the leukemia cells, which have not matured enough to work properly. Plus the marrow infiltration can prevent other types of wbcs from being produced. Drugs we use to treat leukemia also suppress immune function. ...Read moreSee 1 more doctor answer
Blood cancer: All is a form of leukemia which in turn is a form of cancer, more specifically blood and bone marrow cancer. The word "acute" means it progresses faster, as opposed to chronic cases that usually have a slower progression. The word "lymphoblastic" means immature lymphoid and describes the type of malignant cell involved in this leukemia, as opposed to other types of cells, for example myeloid. ...Read moreSee 3 more doctor answers
See below: About 80-90% of patients will achieve remission, but some of these patients will relapse and not be cured. Overall cure is achieved in about 40%. Those numbers come from this link: http://www.Cancer.Org/cancer/leukemia-acutelymphocyticallinadults/overviewguide/leukemia-all-overview-survival-rates. ...Read more
Not important: This is the least of problems if you have all. There can be many causes, the commonest is low Albumin which automatically gives us a low value. But it is inconsequential. Tumor lysis can be another reason but it is not all that common. But your doctor can tell you the cause better than i can try to guess. ...Read more
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