<A id=s2 name=s2>What is childhood acute lymphoblastic leukemia?
Childhood acute lymphoblastic leukemia (also called acute lymphocytic leukemia or ALL) is a disease in which too many underdeveloped infection-fighting white blood cells, called lymphocytes, are found in a child's blood and bone marrow. ALL is the most common form of leukemia in children, and the most common kind of childhood cancer.
Lymphocytes are made by the bone marrow and by other organs of the lymph system. The bone marrow is the spongy tissue inside the large bones in the body. The bone marrow makes red blood cells (which carry oxygen and other materials to all tissues of the body), white blood cells (which fight infection), and platelets (which make the blood clot). Normally, the bone marrow makes cells called blasts that develop (mature) into several different types of blood cells that have specific jobs to do in the body.
The lymph system is made up of thin tubes that branch, like blood vessels, into all parts of the body. Lymph vessels carry lymph, a colorless, watery fluid that contains lymphocytes. Along the network of vessels are groups of small, bean-shaped organs called lymph nodes. Clusters of lymph nodes are found in the underarm, pelvis, neck, and abdomen. The spleen (an organ in the upper abdomen that makes lymphocytes and filters old blood cells from the blood), the thymus (a small organ beneath the breastbone), and the tonsils (an organ in the throat) are also part of the lymph system.
Lymphocytes fight infection by making substances called antibodies, which attack germs and other harmful bacteria in the body. In ALL, the developing lymphocytes become too numerous and do not mature. These immature lymphocytes are then found in the blood and the bone marrow. They also collect in the lymph tissues and make them swell. Lymphocytes may crowd out other blood cells in the blood and bone marrow. If your child's bone marrow cannot make enough red blood cells to carry oxygen, your child may have anemia. If your child's bone marrow cannot make enough platelets to make the blood clot normally, your child may bleed or bruise easily. The cancerous lymphocytes can also invade other organs, the spinal cord, and the brain.
Leukemia can be acute (progressing quickly with many immature cancer cells) or chronic (progressing slowly with more mature-looking leukemia cells). Acute lymphoblastic leukemia progresses quickly, and can occur in both children and adults. Treatment is different for adults than it is for children.