Leukemia facts
Copyright 1998 Columbus Dispatch
October 4, 1998
Leukemia, cancer of the bone marrow and blood, is characterized by the
uncontrolled growth of blood cells. There are four main types:
Acute myelogenous leukemia (AML) results from genetic damage to the DNA of
developing cells in the bone marrow. Risk factors include exposure to radiation
and benzene; chemotherapy used to
treat breast or ovarian cancer and lymphomas; and genetic disorders such as
Down syndrome.
Acute lymphocytic leukemia (ALL) results from an acquired genetic injury to the
DNA of a single cell in the bone marrow. It is the most common form of the
disease in children. Risk factors to children include exposures to infectious
or toxic agents during fetal development or early
childhood.
Chronic myelogenous leukemia (CML) results from an injury to the DNA of a stem
cell in the marrow leading to the uncontrolled growth of white cells. Adults
over the age of 30 represent 98 percent of the CML cases diagnosed. Risk
factors include radiation.
Chronic lymphocytic
leukemia (CLL) results from a malignant disorder involving a progressive
accumulation of small, mature-appearing lymphocytes in blood lymph nodes,
spleen and bone marrow. There seems to be no direct link to radiation, but this
form of leukemia has been associated with farming and rubber manufacturing.
Prevalence: Leukemia
represents 2 percent of all the adult cancers and a third of all childhood
cancers. In 1998, leukemia will be diagnosed in an estimated 26,500 adults and
2,200 children in the United States.
Symptoms: Fatigue, paleness, weight loss, repeated infections, bruising and
nosebleeds
Treatment: Chemotherapy and bone-marrow transplants
Five-year survival rate: For children, 80 percent; for adults, 42 percent.
During the past 20 years, leukemia death rates have dropped 5.1 percent,
largely because of the strides made in treatment.
Chemicals and solvents linked to
leukemia: benzene, pesticides, arsenic, chromium, butadiene, dioxin, ethylene
oxide, heptachlor, herbicides, hydrazine, mycotoxins, perchloroethylene,
polychlorinated biphenyls (PCBs), toluene, tetrachloroethylene, trichloroethylene, trinitrotoluene
Sources: Leukemia Society of America, Agency for Toxic Substances and Disease
Registry, Ohio Environmental Protection Agency
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