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Acute Lymphoblastic Leukaemia

Acute lymphoblastic leukaemia (ALL) is a type of blood cancer which develops from immature white blood cells called lymphoblasts.

Jump to: Quick facts Types Signs & symptoms Stages Treatment FAQs Helpful resources References

Quick facts about acute lymphoblastic leukaemia

  • Acute lymphoblastic leukaemia (ALL) is a form of acute leukaemia which develops when the bone marrow produces immature blood cells that do not mature and progress rapidly

  • The immature lymphoid cells are called lymphoblasts. These cells normally develop into lymphocytes, such as B-cells and T-cells, which fight infection

  • ALL primarily affects Australians under the age of 15 and is most common in children under four years of age

  • Each year approximately 440 Australians are diagnosed with ALL.

Types of acute lymphoblastic leukaemia

There are different subtypes of ALL, which are defined based on the type of lymphocyte affected; either B-cell ALL or T-cell ALL. The World Health Organisation’s (WHO) classification system is used to classify ALL into subtypes. The three different types of ALL are:

  • Pre-B cell ALL

    This type of ALL is defined when early stage development of leukaemia is found in the bone marrow. Pre-B cell ALL is most common in adults.

  • B-cell ALL

    If leukaemia is classified as B-cell ALL, this means the disease has been found in developed or more mature lymphoid cells. This is most common in young adults.

  • T-cell ALL

    T-cell ALL is classified based on the presence of leukaemia in developing T-cells and is a less common diagnosis.

Signs and symptoms of acute lymphoblastic leukaemia

As signs and symptoms for ALL can be similar to other common conditions, it’s important to see your GP or healthcare professional if you experience any of the symptoms below. Discussing anything concerning as soon as possible can help give you peace of mind and offer the best chance of successful treatment if you receive an ALL diagnosis.

Symptoms may include:

Tiredness

Night sweats

Aches and pain in the bones due to cancerous cells in the bone marrow

Unexplained weight loss or loss of appetite

Pain in the chest, coughing and/or trouble breathing

Swollen, painless lymph nodes under the arms, neck or groin

Enlarged stomach due to swollen lymph nodes or spleen

Anaemia due to lack of red blood cells

Increased bleeding and bruising

Stages of acute lymphoblastic leukaemia

The traditional cancer staging system is not used to stage ALL. Instead, the subtypes of ALL help define what your cancer looks like based on laboratory testing (including genetic testing) and the classification systems.

Treatment for acute lymphoblastic leukaemia (ALL)

There are many different types of treatment for ALL. Your treatment will depend on you and your cancer.

Frequently asked questions about acute lymphoblastic leukaemia

Helpful resources

Leukaemia Foundation

Learn more

Cancer Council: Understanding acute leukaemia

Learn more

References

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