Doctor insights on:
What Can I Do To Treat Adult Chronic 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
Blood cancer: Leukemia is a cancer of the white blood cells and bone marrow is the site of the defect. Treatment and outcome depend on the type of leukemia and stage of the disease. Some leukemias may be curable with intensive therapy and may require bone marrow transplantation. ...Read moreSee 1 more doctor answer
Depends on type.: The most common chronic leukemia is chronic lymphocytic leukemia (cll). With initial treatment with the most aggressive treatments, such as fcr have a response rate of 95% and complete remission rate of 70%. Chronic myeloid leukemia (CML) has a 95% rate of complete cytogenetic response for chronic phase patients receiving initial therapy with the latest drugs. ...Read more
What are pros cons of drug procrit (epoetin alfa) to treat 88 year-old man whose chronic leukemia is now becoming acute where he needs transfusions every two weeks?
Limited value: Procrit (epoetin alfa) is commonly used in patients with cancer. But it is not always effective as it helps to raise red cell counts(hb) in most pateints but takes 4-6 weeks before it has any visible benefit.. A patient with acute leukemia has more urgent needs which are best met with a blood transfusion as needed. But his age is against him to achieve much benefit from anything further that can be done for him. ...Read moreSee 1 more doctor answer
Blood work etc: You would need at least- blood work. Imaging scan for abdomen would be needed in certain chronic leukemia ( cml) to evaluate spleen or if there is other indication ( such as presence of abdominal pain etc); a bone marrow biopsy will be needed in certain case of chronic leukemia. Please discuss further in detail with your hematologist/ oncologist. Read more at www.Cancer.Net ; www.Lls.Org. ...Read moreSee 1 more doctor answer
Wish I knew.: There is some evidence that excessive exposure to chemicals such as benzene may lead to an increased incidence of chronic myeloid leukemia, and excessive exposure to radiation has also been implicated. Cllhas been linked to pesticide exposure in some-but not all-studies. In animals, diseases like cll are usually caused by a virus. In practice a doctor rarely finds the cause of a patients leukemia. ...Read moreSee 1 more doctor answer
50% are asymptomatic: About half of patients with chronic leukemia have no symptoms and are discovered on a routine CBC (complete blood count) usually obtained for some other reason. When symptoms do occur, they may include fatigue or tiredness, swollen glands or lymph nodes, low grade fever or sweats that are persistent. More advanced symptoms can include, bleeding, bruising, anemia, enlarging belly or an infection. ...Read more
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