Cancer Awareness: Leukemia Leukemia, or Leukaemia, is a cancer of the white blood cells. It affects either the lymphoid white blood cells or the myeloid white blood cells. Leukemia can be acute or chronic, meaning it affects the cells quickly with little warning (acute) or appear slowly and develops over months or years. There are four types of leukaemia; acute lymphoblastic leukaemia (ALL), chronic lymphocytic leukaemia (CLL), acute myeloid leukaemia (AML) and chronic myeloid leukaemia (CML). Leukemia is most commonly seen in adults over 55, but is the most common cancer type in children under 15. CAUSES The cause of acute Leukemia is not known, however there are multiple linked factors. Factors include high radiation exposure, chemical exposure, and certain viruses, like the Human T-Cell leukemia virus. People diagnosed with chronic myeloid Leukemia have been known to have an abnormal chromosome, the Philadelphia chromosome. Chronic leukemia has been linked to extensive radiation exposure. SYMPTOMS In many cases, people with leukemia do not show symptoms. However, those with symptoms often notice a worsening of the symptoms over time. The more common symptoms of leukemia are tiredness, anemia, autoimmune issues, increased bleeding and susceptibility to bruising. The less common symptoms of leukemia are bone pain, swollen and tender gums, skin rashes, vomiting, vision problems, headaches, enlarged lymph glands, enlarged spleen that may be causing pain, chest pains. TREATMENT Treating leukemia often depends on the type of leukemia. Acute leukemia, which sets on quickly, needs to be treated within the first 24 hours of diagnosis. Common treatments for both lymphoblastic and myeloid leukemia are chemotheraphy, radiation therapy to the head, and peripheral blood stem cell and bone marrow transplants. A specific treatment for acute lymphoblastic leukemia is steroid therapy. Treatment for chronic leukemias vary depending on the cell type. The treatments for chronic lymphocytic leukaemia are; active monitoring, radiation, therapy, chemotherapy and surgical removal of the spleen. Experimental chemotherapy with stem cell transplantations are being tested in clinical trials in some countries. The treatments for chronic myeloid leukaemia are; tyrosine kinase inhibitory therapy, biologic therapy, chemotherapy, high-dose chemotherapy with stem cell transplant, donor lymphocyte infusion, and surgical removal of the spleen. PREVENTION With no proven causes for leukemia, there are no proven preventative measures. However, it is advisable to avoid situations that include linked factors of leukemia. Avoidance of high contact with radiation or chemical exposure is recommended. Preventative measures of infection with linked viruses is also advisable.