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September is Leukemia and Lymphoma Awareness Month

Every 4 minutes one person is diagnosed with a blood cancer.
September is Leukemia and Lymphoma Awareness Month

An estimated 137,260 people in the United States will be diagnosed with leukemia, lymphoma or myeloma in 2010. New cases of leukemia, Hodgkin and non-Hodgkin lymphoma and myeloma will account for 9.0 percent of the 1,529,560 new cancer cases diagnosed in the United States this year. An estimated 957,902 people in the United States are currently living with, or are in remission from, leukemia, Hodgkin lymphoma, NHL or myeloma.

Source: The Leukemia & Lymphoma Society.

There are 2 main types of lymphomas: Hodgkin lymphoma (also known as Hodgkin's lymphoma, Hodgkin disease, or Hodgkin's disease) is named after Dr. Thomas Hodgkin, who first described it.

All other types of lymphoma are called non-Hodgkin lymphomas.

Source: American Cancer Society.

Leukemia, the most common blood cancer, includes several diseases. The four major types are:

  • acute lymphocytic leukemia (ALL)
  • chronic lymphocytic leukemia (CLL)
  • acute myelogenous leukemia (AML)
  • chronic myelogenous leukemia (CML).

Although affecting approximately 10 times more adults than children, leukemia is the most common cancer among children, with ALL accounting for approximately 72% of all childhood leukemias. The most common type of leukemia in adults is AML, followed by CLL, CML, and ALL.

Source: National Cancer Institute [PDF]

According to the National Cancer Institute

  • It is estimated that 74,030 men and women (40,050 men and 33,980 women) will be diagnosed with and 21,530 men and women will die of lymphoma in 2010
  • It is estimated that 43,050 men and women (24,690 men and 18,360 women) will be diagnosed with and 21,840 men and women will die of leukemia in 2010.

Risk Factors


Leukemia Risk Factors

The risk factors may be different for the different types of leukemia:

Radiation:
People exposed to very high levels of radiation are much more likely than others to get acute myeloid leukemia, chronic myeloid leukemia, or acute lymphocytic leukemia.

Atomic bomb explosions:
Very high levels of radiation have been caused by atomic bomb explosions (such as those in Japan during World War II). People, especially children, who survive atomic bomb explosions are at increased risk of leukemia.

Radiation therapy:
Another source of exposure to high levels of radiation is medical treatment for cancer and other conditions. Radiation therapy can increase the risk of leukemia.

Diagnostic x-rays:
Dental x-rays and other diagnostic x-rays (such as CT scans) expose people to much lower levels of radiation. It's not known yet whether this low level of radiation to children or adults is linked to leukemia. Researchers are studying whether having many x-rays may increase the risk of leukemia. They are also studying whether CT scans during childhood are linked with increased risk of developing leukemia.

Smoking:
Smoking cigarettes increases the risk of acute myeloid leukemia.

Benzene:
Exposure to benzene in the workplace can cause acute myeloid leukemia. It may also cause chronic myeloid leukemia or acute lymphocytic leukemia. Benzene is used widely in the chemical industry. It's also found in cigarette smoke and gasoline.

Chemotherapy:
Cancer patients treated with certain types of cancer-fighting drugs sometimes later get acute myeloid leukemia or acute lymphocytic leukemia. For example, being treated with drugs known as alkylating agents or topoisomerase inhibitors is linked with a small chance of later developing acute leukemia.

Down syndrome and certain other inherited diseases:
Down syndrome and certain other inherited diseases increase the risk of developing acute leukemia.

Myelodysplastic syndrome and certain other blood disorders:
People with certain blood disorders are at increased risk of acute myeloid leukemia.

Human T-cell leukemia virus type I (HTLV-I):
People with HTLV-I infection are at increased risk of a rare type of leukemia known as adult T-cell leukemia. Although the HTLV-I virus may cause this rare disease, adult T-cell leukemia and other types of leukemia are not contagious.

Family history of leukemia:
It's rare for more than one person in a family to have leukemia. When it does happen, it's most likely to involve chronic lymphocytic leukemia. However, only a few people with chronic lymphocytic leukemia have a father, mother, brother, sister, or child who also has the disease.

Risk Factors Non-Hodgkin Lymphoma

In general, the risk factors for non-Hodgkin lymphoma include the following:

Weakened immune system:
The risk of developing lymphoma may be increased by having a weakened immune system (such as from an inherited condition or certain drugs used after an organ transplant).

Certain infections:
Having certain types of infections increases the risk of developing lymphoma. However, lymphoma is not contagious. You cannot catch lymphoma from another person.
The following are the main types of infection that can increase the risk of lymphoma:

  • Human immunodeficiency virus (HIV): HIV is the virus that causes AIDS. People who have HIV infection are at much greater risk of some types of non-Hodgkin lymphoma.
  • Epstein-Barr virus (EBV): Infection with EBV has been linked to an increased risk of lymphoma. In Africa, EBV infection is linked to Burkitt lymphoma.
  • Helicobacter pylori: H. pylori are bacteria that can cause stomach ulcers. They also increase a person's risk of lymphoma in the stomach lining.
  • Human T-cell leukemia/lymphoma virus type 1 (HTLV-1): Infection with HTLV-1 increases a person's risk of lymphoma and leukemia.
  • Hepatitis C virus: Some studies have found an increased risk of lymphoma in people with hepatitis C virus. More research is needed to understand the role of hepatitis C virus.

Age:
Although non-Hodgkin lymphoma can occur in young people, the chance of developing this disease goes up with age. Most people with non-Hodgkin lymphoma are older than 60.

Risk Factors Hodgkin Lymphoma

The risk factors for Hodgkin lymphoma include the following:

Certain viruses:
Having an infection with the Epstein-Barr virus (EBV) or the human immunodeficiency virus (HIV) may increase the risk of developing Hodgkin lymphoma. However, lymphoma is not contagious. You can't catch lymphoma from another person.

Weakened immune system:
The risk of developing Hodgkin lymphoma may be increased by having a weakened immune system (such as from an inherited condition or certain drugs used after an organ transplant).

Age:
Hodgkin lymphoma is most common among teens and adults aged 15 to 35 years and adults aged 55 years and older. (For information about this disease in children, call the NCI's Cancer Information Service at 1-800-4-CANCER.)

Family history:
Family members, especially brothers and sisters, of a person with Hodgkin lymphoma or other lymphomas may have an increased chance of developing this disease.

Having one or more risk factors does not mean that a person will develop Hodgkin lymphoma. Most people who have risk factors never develop cancer.

Symptoms


Leukemia Symptoms

Like all blood cells, leukemia cells travel through the body. The symptoms of leukemia depend on the number of leukemia cells and where these cells collect in the body.

People with chronic leukemia may not have symptoms. The doctor may find the disease during a routine blood test.

People with acute leukemia usually go to their doctor because they feel sick. If the brain is affected, they may have headaches, vomiting, confusion, loss of muscle control, or seizures. Leukemia also can affect other parts of the body such as the digestive tract, kidneys, lungs, heart, or testes.

Common symptoms of chronic or acute leukemia may include:

  • Swollen lymph nodes that usually don't hurt (especially lymph nodes in the neck or armpit)
  • Fevers or night sweats
  • Frequent infections
  • Feeling weak or tired
  • Bleeding and bruising easily (bleeding gums, purplish patches in the skin, or tiny red spots under the skin)
  • Swelling or discomfort in the abdomen (from a swollen spleen or liver)
  • Weight loss for no known reason
  • Pain in the bones or joints

Most often, these symptoms are not due to cancer. An infection or other health problems may also cause these symptoms. Only a doctor can tell for sure.

Hodgkin Lymphoma Symptoms

Hodgkin lymphoma can cause many symptoms:
  • Swollen lymph nodes (that do not hurt) in the neck, underarms, or groin
  • Becoming more sensitive to the effects of alcohol or having painful lymph nodes after drinking alcohol
  • Weight loss for no known reason
  • Fever that does not go away
  • Soaking night sweats
  • Itchy skin
  • Coughing, trouble breathing, or chest pain
  • Weakness and tiredness that don't go away

Non-Hodgkin Lymphoma Symptoms

Non-Hodgkin lymphoma can cause many symptoms:
  • Swollen, painless lymph nodes in the neck, armpits, or groin
  • Unexplained weight loss
  • Fever
  • Soaking night sweats
  • Coughing, trouble breathing, or chest pain
  • Weakness and tiredness that don't go away
  • Pain, swelling, or a feeling of fullness in the abdomen

Source: National Cancer Institute - Please note: the links open a new browser window

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