Acute Myeloid Leukaemia
What Is Acute Myeloid Leukemia?
Acute Myeloid Leukemia (AML) is a fast-growing cancer that affects bone marrow and blood. It is a precursor to the forming bone marrow cells typically those that are destined to be the white blood cells. In AML the cells fail to mature properly and instead grow exponentially and encircling healthy blood cells.
In contrast to chronic leukemias AML is a rapid-growing disease that requires immediate medical treatment. The cells that are immature, referred to by the name of myeloblasts collect in bone marrow as well as bloodstream, and could be transferred across other organs.
AML is also known by various medical terms, like:
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Acute myelocytic lymphoma
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Acute granulocytic lymphoma
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Leukemia that is acute and non-lymphocytic
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Acute myelogenous lymphoma
How AML Affects the Body
As abnormal cells develop they hinder bone marrow’s capacity to produce healthy white cells, red cells and platelets. This could lead to:
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Anemia severe
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Risk of infection increases
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Unusual bleeding and bleeding and
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Organ damage occurs when leukemia cells invade the spleen, liver, lymph nodes, or the brain
If left untreated, AML can progress quickly and can become fatal. A timely diagnosis as well as aggressive therapy are crucial to improve the outcome.
Risk Factors and Possible Causes
The precise nature of AML is often not known However, several danger factors are implicated in the development of AML:
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Smoking tobacco smoking increases the risk of exposure to toxic chemicals such as benzene
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Exposure to chemicals contact the industrial chemicals, pesticides and paint removers
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Exposure to radiation high doses of radiation like from nuclear accidents or prior treatments for cancer
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Previous chemotherapy Certain cancer treatments may increase the chance of developing secondary AML
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Predispositions to genetic factors conditions like Li-Fraumeni syndrome, Down syndrome and neurofibromatosis
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Preexisting blood disorders: Including myeloproliferative neoplasms
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Family background: Being a close relative who has AML could increase the risk
Although there’s no way to guarantee protection, quitting smoking cigarettes and limiting exposure to chemicals that pose a risk can help lower the risk.
Recognizing AML Symptoms
AML symptoms can be similar to symptoms of flu or other illnesses that are common making the early detection difficult. Common signs include:
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Instant fatigue and weakening
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Night sweats, frequent fevers, and frequent fevers
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Sudden weight loss or poor appetite
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Skin tone pale or shortness of breath
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Unusual bleeding or bruising
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Joint or bone pain
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Swollen gums or enlarged lymph nodes
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Spots of red or purple in the face (petechiae)
Certain individuals might develop neurological symptoms as well in the event that the disease progresses to the spinal fluid or brain.
How AML Is Diagnosed
A correct diagnosis requires multiple steps, usually beginning with a medical exam later, laboratory tests:
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Total blood count (CBC): Detects abnormal levels of platelets, and red cells.
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Peripheral blood smear: Identifies immature blast cells
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Bone Marrow Biopsy confirms the presence of leukemia-related cells in the bone marrow
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Tests for imaging: CT, MRI or ultrasound for assessing the involvement of other organs
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Alumbar puncture The procedure examines the spinal fluid for leukemia cells
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Cytogenetic and molecular tests Finds genetic mutations or chromosomal modifications that affect the treatment
These tests can help determine the kind of AML and aid in making therapy choices.
Treatment Approaches for AML
Since AML can quickly worsen beginning treatment as soon as diagnosis is vital. Treatment typically occurs in two phases:
1. Induction Therapy
The aim is to kill the most leukemia-related cells possible, and then get into the goal of remission (no apparent indications for cancer).
2. Consolidation Therapy
Also referred to post-remission therapy, this treatment aims at eliminating any leukemia cells that remain and to reduce the chance of the recurrence.
Types of AML Treatment
Treatment plans are according to age, overall health, specific changes, and the response to therapy. The most common treatment options are:
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Chemotherapy is the basis for AML treatment, usually involving powerful drugs in large doses to kill the leukemia cells.
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Stem cells transplant replaces bone the marrow with healthy cells or from a donor (autologous) or from a donor (allogeneic)
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Therapy targeted drugs that target specific genetic modifications in leukemia cells, allowing for an improved approach to treatment
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Radiotherapy is sometimes utilized when leukemia is spreading into the brain or to prepare for an organ transplant using stem cells.
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Immunotherapy is an experimental treatment for AML however, it could involve treatments that boost the body’s own immune system
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ATRA and arsenic trioxide is particularly beneficial in a particular subtype, known as acute promyelocytic Leukemia (APL)
Treatments for support like antibiotics, blood transfusions and growth factors could be required to treat adverse reactions.
Prognosis and Outlook
The results of AML differ based on a variety of variables:
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Age at diagnosis
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Health and fitness levels, as well as other conditions
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Leukemia cells are afflicted with genetic mutations. cells
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Rapidity and the intensity of response to the initial therapy
Patients who are younger and have good genetic profiles typically respond better to treatment. But, a continuous medical check-up is vital due to the potential for Relapse.
Conclusion
The acute Myeloid Leukemia (AML) is severe blood cancer that is treatable. It is detected early, and timely intervention and access to the most advanced treatments can increase survival and the quality of life. With the ongoing advancement of research and innovative therapies, outcomes continue improve for a lot of patients.

About the Doctor
Dr. Padmaja Lokireddy is a highly respected Hemato Oncologist, Bone Marrow & Stem Cell Transplant Surgeon with years of experience in the field. She earned her postgraduate degree in internal medicine from the prestigious Manipal Academy of Higher Education and continued her studies and worked in the UK for about 13 years.


