diagnostic:Chronic Lymphocytic Leukemia (CLL). Diagnostic abroad
The main treatment method for acute lymphoblastic leukemia (ALL) is chemotherapy. It is carried out in several stages, the first of which is called induction. The purpose of induction is to destroy the maximum number of leukemia cells within a short time. The patients in the standard and medium risk groups are usually prescribed 1 cycle of such therapy.
Preparations for treatment begins with the oncologist’s advice. The physician performs a clinical examination, collects the case history and prescribes a set of tests, such as
- complete blood count,
- blood chemistry,
- cytogenetic analysis.
Based on the diagnostics findings, an optimal regimen is developed.
Treatment lasts 17 days. At this time, the patient is hospitalized and continuously monitored by the medical staff
The drugs are administered orally, intravenously, and, intrathecally (into the spinal fluid), if required. Children are usually administered vincristine, asparaginase and glucocorticosteroids. The adults are also prescribed anthracyclines and cyclophosphamide. The cost of medication is determined by the treatment intensity.
During treatment, the patients may report the following side effects:
- ulceration of the mouth mucous membranes,
- hair loss.
Symptomatic treatment is administered to alleviate the suffering.
The chemotherapy efficacy is monitored by tests. Remission is ascertained when the number of blasts in the bone marrow is reduced to 5%. The further treatment strategy is developed for each case individually.Hide