Table 1.
Leukemia subtypes | Characteristics | ||||
---|---|---|---|---|---|
Clinical features | Laboratory findings | ||||
Age | Onset | Symptoms | Peripheral blood | Bone marrow | |
Acute lymphoblastic leukemia/ lymphoma | Most common hematological malignancy of children. Most common between 1 and 5 years of age and between 30 and 40 years | Abrupt | Bone marrow failure Extramedullary infiltration CNS involvement Testicular involvement |
Total WBC count: Markedly raised, ranging from 20×109/L to 200×109/L | Markedly hypercellular due to proliferation of blasts |
Acute myelogenous leukemia | May develop at any age, but is more common in adults | Abrupt | Bone marrow failure Extramedullary infiltration |
Total WBC count: Markedly raised, ranging from 20×109/L to 100×109/L | Markedly hypercellular due to proliferation of blasts |
Chronic lymphocytic leukemia | Between 50 and 60 years of age | Insidious | Fatigue, loss of weight and anorexia Generalized lymphadenopathy |
Total leukocyte count is increased (20-50×109/L) | Hypercellular marrow due to infiltration by mature lymphocytes |
Chronic myelogenous leukemia | Usually occurs between 40 and 60 years of age | Insidious | Fatigue, weakness, weight loss and anorexia Splenomegaly Hepatomegaly |
Marked leukocytosis (12-600×109/L) Total leukocyte count usually exceeds 100×109/L Philadelphia chromosome |
Markedly hypercellular due to myeloid hyperplasia Philadelphia chromosome |
CNS – Central nervous system; WBC – White blood cell