Acute lymphoblastic leukemia (ALL) is a fast-growing cancer of the white blood cells. Lymphocytes are a type of white blood cell that the body uses to fight infections. In ALL, the bone marrow makes lots of unformed cells called blasts that normally would develop into lymphocytes. However, the blasts are abnormal. They do not develop and cannot fight infections. The number of abnormal cells (or leukemia cells) grows quickly. They crowd out the normal red blood cells, white blood cells and platelets the body needs..
There are about 4,000 new cases of ALL in the United States each year. It appears most often in children younger than age 10. ALL is the most common leukemia in children. However, it can appear in people of any age — about one-third of cases are adults. Acute lymphoblastic leukemia may also be called acute lymphocytic leukemia or acute lymphoid leukemia.
Worldwide, the highest incidence of ALL occurs in Italy, the United States, Switzerland, and Costa Rica, and this disease is slightly more common in men than in women.
Risk Factors
Factors that may increase the risk of acute lymphocytic leukemia include: * Previous cancer treatment. Children and adults who've had certain types of chemotherapy and radiation therapy for other kinds of cancer may have an increased risk of developing acute lymphocytic leukemia. * Exposure to radiation. People exposed to very high levels of radiation, such as survivors of a nuclear reactor accident, have an increased risk of developing acute lymphocytic leukemia. * Genetic disorders. Certain genetic disorders, such as Down syndrome, are associated with an increased risk of acute lymphocytic leukemia. * Having a brother or sister with ALL. People who have a sibling, including a twin, with acute lymphocytic leukemia have an increased risk of ALL.
Signs and symptoms
The symptoms a person with ALL has depend on how many normal blood cells he or she has. Symptoms also depend on how many