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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 in the blood at diagnosis.
    • Whether the leukemia cells began from B lymphocytes or T lymphocytes.
    • Whether there are certain changes in the chromosomes or genes of the lymphocytes with cancer.
    • Whether the child has Down syndrome.
    • Whether leukemia cells are found in the cerebrospinal fluid.
    • How quickly and how low the leukemia cell count drops after initial treatment.

    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.
    • How quickly and how low the leukemia cell count drops after initial treatment.

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

    • How long it is between diagnosis and when the leukemia comes back after initial treatment.
    • Whether the leukemia comes back in the bone marrow or in other parts of the body.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Public Information from the National Cancer Institute

    Last Updated: May 28, 2015
    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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