When should you suspect leukemia?

If a person appears pale, has enlarged lymph nodes, swollen gums, an enlarged liver or spleen, significant bruising, bleeding, fever, persistent infections, fatigue, or a small pinpoint rash, the doctor should suspect leukemia. A blood test showing an abnormal white cell count may suggest the diagnosis.
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How early can leukemia be detected?

The white cells in the blood grow very quickly, over a matter of days to weeks. Sometimes a patient with acute leukemia has no symptoms or has normal blood work even a few weeks or months before the diagnosis.
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What were your first signs of leukemia?

Early Symptoms of Leukemia
  • Fatigue.
  • Loss of appetite.
  • Bone/joint pain.
  • Headaches.
  • Fever, chills.
  • Unexplained weight loss.
  • Night sweats.
  • Abdominal discomfort.
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Are there warning signs for leukemia?

Unlike symptoms of the flu, which generally subside as you get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising. Other early warning signs of leukemia include: Fever, chills. Fatigue, weakness.
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How do you rule out leukemia?

Blood tests.

By looking at a sample of your blood, your doctor can determine if you have abnormal levels of red or white blood cells or platelets — which may suggest leukemia. A blood test may also show the presence of leukemia cells, though not all types of leukemia cause the leukemia cells to circulate in the blood.
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What Questions Should I Ask If I Suspect Acute Myeloid Leukemia



Does leukemia show up in routine blood work?

Doctors may identify leukemia during routine blood tests, before a patient has symptoms. If you already have symptoms and go for a medical visit, your doctor will perform a physical exam to check for swollen lymph nodes, spleen or liver.
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What diseases can mimic leukemia?

Leukemia is commonly misdiagnosed as the following conditions:
  • Influenza.
  • Fever.
  • Pathological fracture.
  • Bleeding disorders.
  • Immune thrombocytopenic purpura.
  • Trypanosomiasis.
  • Autoimmune lymphoproliferative syndrome.
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Does leukemia come on suddenly?

Acute leukemia may cause signs and symptoms that are similar to the flu. They come on suddenly within days or weeks. Chronic leukemia often causes only a few symptoms or none at all. Signs and symptoms usually develop gradually.
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What does leukemia fatigue feel like?

Unlike the fatigue that healthy people experience from time to time, CRF is more severe, often described as an overwhelming exhaustion that cannot be overcome with rest or a good night's sleep. Some people may also describe muscle weakness or difficulty concentrating.
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Where does leukemia start?

Leukemia starts in the soft, inner part of the bones (bone marrow), but often moves quickly into the blood. It can then spread to other parts of the body, such as the lymph nodes, spleen, liver, central nervous system and other organs.
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What bloodwork shows leukemia?

How Is Leukemia Treated? Your doctor will conduct a complete blood count (CBC) to determine if you have leukemia. This test may reveal if you have leukemic cells. Abnormal levels of white blood cells and abnormally low red blood cell or platelet counts can also indicate leukemia.
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Is leukemia curable if caught early?

Leukemia is the cancer of the blood-forming tissues that includes bone marrow and lymphatic system. Adults and children are equally affected by Leukemia, which is seen as production of abnormal white blood cells by the bone marrow.
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Can leukemia be missed in a CBC?

Any elevated white count should bring up the possibility of acute leukemia. There is usually something in the CBC report that gives it away and there may be something in this case, which will make the failure to diagnoses earlier more egregious. The issue then is a delay in diagnosing acute leukemia.
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What WBC count indicates leukemia?

At diagnosis, people with leukemia can have extremely high white blood cell counts. According to the Roswell Park Comprehensive Cancer Center, they can reach into the 100,000 to 400,000 range.
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How is pre leukemia diagnosed?

Your doctor will have you take two other tests to check for MDS: a bone marrow aspiration and a bone marrow biopsy. During these procedures, a thin, hollow needle is inserted into a hip bone to remove a sample of marrow, blood, and bone.
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What is an alarming WBC count?

How many white blood cells (WBCs) someone has varies, but the normal range is usually between 4,000 and 11,000 per microliter of blood. A blood test that shows a WBC count of less than 4,000 per microliter (some labs say less than 4,500) could mean your body may not be able to fight infection the way it should.
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What do leukemia headaches feel like?

A sudden, excruciating headache that quickly becomes unbearably painful to the point where you can't move. Sometimes called a “thunderclap headache”, this is the most concerning type of headache as it can be caused by a life-threatening bleed on the brain.
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What are leukemia night sweats like?

Night sweats may be related to leukemia when they are excessive, causing a person to wake up drenched in sweat, even when in a comfortably cool room. In some cases, the sweating may be so excessive that a person has soaked their bed sheets or clothing to such an extent that they can no longer sleep on them.
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Does leukemia cause frequent urination?

Swollen lymph nodes (T-PLL, ATLL); lymph nodes are tiny, bean-shaped organs that help fight infection. Frequent urination and/or constipation from high levels of calcium in the blood, called hypercalcemia (ATLL).
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What are leukemia fevers like?

Fever – may be constant low-level fevers or a sudden spike in temperature. Infections – could be a sequence of infections or a single infection that's resistant to treatment. Shortness of breath – often due to low platelet count, which reduces the blood's oxygen-carrying capacity.
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What would a CBC look like with leukemia?

If you have leukemia, your blood cells count will likely show higher than usual levels of white blood cells, which include leukemic cells. You may also have lower than usual red blood cell and platelet cell counts. If all three types are low, this is known as pancytopenia.
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What triggers leukemia in adults?

While the exact cause of leukemia—or any cancer, for that matter—is unknown, there are several risk factors that have been identified, such as radiation exposure, previous cancer treatment and being over the age of 65.
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How long can you have undiagnosed leukemia?

These blood cells replicate or accumulate more slowly and can function normally for a period of time. Some forms of chronic leukemia initially produce no early symptoms and can go unnoticed or undiagnosed for years.
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Can you have leukemia with a normal white blood count?

However, only 4% of adults with acute leukemia present with musculoskeletal manifestations. These patients often have relatively normal blood cell counts and a lower incidence of organomegaly. This form of presentation can lead to delays in the diagnosis of acute leukemia in adults.
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Can you be asymptomatic with leukemia?

“CLL is an indolent disease that is treated only if symptomatic. Currently, between 70% and 80% of newly diagnosed [patients with CLL] are asymptomatic and therefore are offered a wait-and-see approach to management consisting of regular visits every 3 to 12 months.
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