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1. Leukemia
5. Mechanisms of the 4 primary classifications of Leukemia
6. Symptoms When there are excessive white blood cells --> Infections
When there are few red blood cells: Paleness --> Anemia
When there are few platelets --> Excessive bleeding
Symptom result accumulation of blast cells in other organs
7. Symptoms
8. diagnosis 1. Blood examination CBC differentiate + PBS
- anemia,
- thrombocytopenia,
- variable leukocyte count, usually increased,
- blood morphology: presence of blast cells
2. Bone marrow biopsy*
- presence of blast cells,
- suppression of normal haematopoiesis
9. diagnosis 3. LP
4. Chest xray
5. Computerized tomography scan
6 .MRI
7.Physical examinations
10. Morphologic subtypes of acute lymphoblastic leukemias*
11. Treatment strategy in ALL
12. Treatments Chemotherapy
Radiation therapy
Bone Marrow Transplant (BMT)
Biological therapy
13. Chemotherapy Chemotherapy is the use of drugs to kill cancer cells.
Most often given through an IV.
Drugs do not reach cells in the CNS due to the blood-brain barrier.
To reach leukemia cells in the CNS, must use intrathecal chemotherapy.
Side effects:
Healthy cells can be damaged (hair, blood cells, cells in digestive tract).
May lower resistance to infection.(neutropenia)
Loss of hair.
Mouth sores
Bleeding.(leuckopenia)
Nausea?vomit
May also affect a patient’s fertility.
14. Chemotherapy done in four stage 1.Induction:in this stage act to kill any most cancer cells
Duration : 4-6 weeks
Drugs: prednisone(daily. PO)
L- asparginase(IM-IV)
vincristine (weekly .IV)
cyclophosphamide.(PO.IV)
dexamethason (daily .PO) high risk
cytosin arabinoide(.interathecally) high risk
methotrexate(.interathecally) high risk
15. Chemotherapy done in four stage 2. Intensification:
Duration : 6 month
Drugs:L- asparginase(IM-IV)
6-mercaptopurine(PO)
methotrexate(PO.IV)
16. Chemotherapy done in four stage 3. CNS prophylaxis :
Duration : 4 week
Drugs: methotrexate(.interathecally)
hydrocortisone (.interathecally)
scalp Radiation therapy
17. Chemotherapy done in four stage 4. Maintenance :
Duration : 2-3 years
Drugs: methotrexate(weekly .PO. IM)
6-mercaptopurine(daily PO)
prednisone
vincristine
18. Radiation therapy Radiation therapy uses high-energy rays to damage cancer cells and stop them from growing.
Used along with chemotherapy.
May be given in two ways:
To one specific area where there is a collection of leukemia cells.
Radiation that is directed at the whole body.
Side effects:
May become very tired.
Can cause skin to become itchy, tender, or dry.
May cause nausea, vomiting, and loss of appetite.
In treatment to the brain, side effects may be permanent.
Children my develop learning and coordination problems.
19. Biological therapy Involves treatment with substances that affect the immune system’s response to cancer
Interferon is a form of biological therapy that is used against some types of Leukemia.
20. Risk Factors
Exposure to benzene in the workplace.
Exposure to extraordinary doses of irradiation.