Doctor insights on:
Treatment For Acute Leukemia
Leukemia is 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
Depends: Depends on the type, cytogenetic profiles, age, overall condition, preference. In general, combination of systemic chemo plus minus biological therapy then followed by either consolidation chemo or bone marrow transplant if indicated.Discuss further with your oncologist. Certain acute leukemia is treated with derivative vitamin a, plus minus arsenic.Clinical trial and palliative are available too. ...Read more
Differs: The answers depend on patient age, overall health, and type of aml. Usually younger, healthier patients are offered aggressive chemotherapy and possible stem cell transplant, while older patients are offered less aggressive chemotherapy or supportive care alone. Here is a link to info on AML treatment: http://www.Cancer.Gov/cancertopics/pdq/treatment/adultaml/patient/page1. ...Read more
Possibly: We do use it if they have chromosomal changes that predict response. However, not the standard of care. Mainly used if the person is not in the best of shape and looking for alternative, non aggressive options. Hope this helps. ...Read more
My granny is 70-75 years old and was diagonised with acute leukemia. Can you suggest the best treatment for her?
Difficult.: The ability to tolerate aggressive chemotherapy declines with age. Patients under 60 can tolerate aggressive chemo and expect good results, but between 60-70 results are worse, and over 70 much worse unless there is an unusual type of dna damage to predicts good response. Less aggressive approaches are possible with older AML patients who have lower "blast counts" in marrow. There is no "best.". ...Read more
85 year old is in end stage acute leukemia....dr. said treatment would kill her. What can the family expect?
Yes: We have very good cure rates for children with all (acute lymphoblastic leukemia). AML (acute myelogenous leukemia) can also be cured, but it is more difficult. There are specific subtypes of each type of leukemia, and knowing this information can help with planning treatment and knowing prognosis. ...Read moreSee 1 more doctor answer
My uncle and cousin (uncles daughter)both had acute leukemia at 65 and 50 years old. I didn't think leukemia was hereditary?
It is not: But I have certainly seen clustering of blood cancers in some families. ...Read more
Hard to say...: It is very difficult to give you a general description of pain in leukemia since it varies widely from patient to patient. Generally, for example, in the beginning (before treatment) there may be bone pain from infiltration of the bone marrow or abdominal pain from infiltration of spleen/liver. Once treatment is initiated, there may be some pain associated with that, too. ...Read more
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