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Childhood Acute Lymphoblastic Leukemia Treatment (PDQ®): Treatment - Patient Information [NCI] - General Information About Childhood Acute Lymphoblastic Leukemia

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Certain factors affect prognosis (chance of recovery) and treatment options.

The prognosis (chance of recovery) depends on:

  • Age at diagnosis, gender, and race.
  • The number of white blood cells at diagnosis.
  • Whether the leukemia cells began from B lymphocytes or T lymphocytes.
  • Whether there are certain changes in the chromosomes of lymphocytes.
  • Whether the child has Down syndrome.
  • Whether the leukemia has spread to the brain, spinal cord, or testicles.
  • How quickly and how low the leukemia cell count drops after initial treatment.

The treatment options depend on:

  • Whether the leukemia cells began from B lymphocytes or T lymphocytes.
  • Whether the child has standard-risk or high-risk ALL.
  • The age of the child at diagnosis.
  • Whether there are certain changes in the chromosomes of lymphocytes, such as the Philadelphia chromosome.

For leukemia that recurs (comes back) after initial treatment, the prognosis and treatment options depend on:

  • How long it is between the end of initial treatment and when the leukemia recurs.
  • Whether the leukemia recurs in the bone marrow or outside the bone marrow.

WebMD Public Information from the National Cancer Institute

Last Updated: September 04, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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