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Questions and Answers
What is the most common form of childhood leukemia?
What is the characteristic of Chronic Leukemia in children?
Which type of leukemia affects the lymphocytes?
What is a characteristic of Acute Leukemia?
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What is the result of the genetic change in Acute Promyelocytic Leukemia (APL)?
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What is the percentage of childhood leukemia diagnoses that is Acute Lymphoblastic Leukemia (ALL)?
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What is the characteristics of Chronic Myelogenous Leukemia (CML) in children?
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What is the result of the over-production of immature WBC in Acute Lymphoblastic Leukemia (ALL)?
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What is the main characteristic of Chronic Myeloid Leukemia (CML)?
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What is the result of the chromosome translocation in CML?
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What is the age range of children most commonly affected by Juvenile Myelomonocytic Leukemia (JMML)?
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What is the main purpose of Bone Marrow Aspiration and Biopsy in the diagnosis of leukemia?
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What is the result of uncontrolled cell growth in leukemia?
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What is the purpose of Immunophenotyping and Cytogenetic Analysis in the diagnosis of leukemia?
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What is a common sign or symptom of leukemia?
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What is the most common characteristic of Chronic Lymphocytic Leukemia (CLL)?
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Study Notes
Leukemia in Children
- A hematological malignancy or cancer of the blood that develops in the bone marrow.
- Most common childhood cancer, with two main types: Acute and Chronic.
Acute Leukemia
- Develops and worsens quickly (over days to weeks).
- Most common type of childhood leukemia.
Types of Acute Leukemia
-
Acute Lymphoblastic Leukemia (ALL)
- Most common form of childhood leukemia (75-80% of cases).
- Affects lymphocytes, a type of White Blood Cells (WBC) that fights infection.
- Bone marrow produces too many immature WBC that do not mature correctly.
-
Acute Myelogenous Leukemia (AML)
- Accounts for 20% of childhood leukemia cases.
- Cancer of the blood where too many myeloblasts (immature WBC) are produced in the bone marrow.
- Abnormal cells crowd out healthy blood cells and do not work properly to fight infection.
-
Acute Promyelocytic Leukemia (APL)
- A specific type of AML.
- Promyelocytes are produced and build up in the bone marrow.
- Specific chromosome translocation (chromosome 15 and 17) prevents promyelocytes from maturing properly.
Chronic Leukemia
- Develops slowly, over months to years.
- Rare in children, but does occur.
Types of Chronic Leukemia
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Chronic Myelogenous Leukemia (CML)
- Rare in children, but does occur.
- Too many immature WBC are produced, crowding out healthy blood cells.
- Chromosome translocation (chromosome 9 and 22) leads to uncontrolled cell growth.
-
Chronic Lymphocytic Leukemia (CLL)
- Extremely rare in children.
-
Juvenile Myelomonocytic Leukemia (JMML)
- Rare, most commonly occurs in children under the age of four.
- Myelomonocytic cells are overproduced and invade the spleen, lungs, and intestines.
Signs and Symptoms of Leukemia
- Continuous weight loss
- Headache, persistent nausea and vomiting with or without seizure
- Increased swelling or persistent pain in bones, joints, back or legs
- Lump or mass (swollen lymph nodes) – abdomen, neck, chest, armpits
- Development of rash, bleeding, bruises (including petechiae)
- Constant / recurrent infections
- Abdominal pain or fullness, which may cause shortness of breath or loss of appetite
- Noticeable paleness of skin
- Constant tiredness
- Eye or vision changes
- Recurrent or persistent fever
Causes of Leukemia
- Exact cause of most cases of childhood leukemia is not known.
- Most children with leukemia do not have any known risk factors.
Diagnosis of Leukemia
- Bone Marrow Aspiration and Biopsy to look for and collect leukemia cells.
- Immunophenotyping and Cytogenetic Analysis are performed on the cells to further determine the type of leukemia.
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Description
This quiz covers leukemia in preschoolers, its types, and characteristics. Learn about acute and chronic leukemia and its differences.