Acute Myeloid Leukemia (AML)

11 min read

Acute myeloid leukemia (AML) is a type of cancer that affects the blood and bone marrow. It is a type of cancer that develops from cells that would normally turn into white blood cells. AML is the most common type of acute leukemia in adults, and it is also the most aggressive form of leukemia.

Causes of AML

The exact cause of AML is unknown, but there are certain factors that may increase the risk of developing the disease. These include exposure to certain chemicals, such as benzene, radiation, and certain chemotherapy drugs. People with certain genetic disorders, such as Down syndrome, are also at an increased risk of developing AML.

Diagnosis of AML

AML is usually diagnosed through a combination of physical exams, blood tests, and imaging tests. A doctor may also order a bone marrow biopsy to confirm the diagnosis. During a bone marrow biopsy, a sample of bone marrow is taken and examined under a microscope to look for abnormal cells.

Prognosis of AML

The prognosis of AML depends on a variety of factors, including the type of AML, the patient's age, and the response to treatment. In general, the prognosis is better for younger patients and those with certain types of AML. Treatment options for AML include chemotherapy, radiation therapy, stem cell transplant, and targeted therapy.

Take the Acute Myeloid Leukemia (AML) Assessment

Symptoms

  • Fatigue
  • Fever
  • Shortness of breath
  • Easy bruising or bleeding
  • Pain in the bones or joints
  • Pale skin
  • Frequent infections
  • Weight loss
  • Enlarged lymph nodes, liver, or spleen

If you experience any of these symptoms, it is important to contact your doctor right away. Early diagnosis and treatment can help improve your chances of a successful outcome.

Causes

Risk Factors for Acute Myeloid Leukemia

The following are some of the risk factors that may increase a person’s chances of developing AML:

  • Age: AML is more common in people over the age of 60.
  • Exposure to certain chemicals: Exposure to certain chemicals, such as benzene, can increase the risk of AML.
  • Genetic disorders: Certain genetic disorders, such as Down syndrome, can increase the risk of AML.
  • Radiation exposure: Exposure to radiation, such as radiation therapy for cancer, can increase the risk of AML.
  • Family history: Having a family history of AML can increase the risk of developing the disease.

It is important to note that having one or more of these risk factors does not necessarily mean that a person will develop AML. However, it is important to be aware of these risk factors and to discuss them with a doctor if any concerns arise.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look for signs and symptoms of AML, such as fatigue, fever, weight loss, and easy bruising or bleeding. The doctor may also feel the lymph nodes and liver to check for any enlargement.

Laboratory Tests

Laboratory tests are used to diagnose AML. These tests include a complete blood count (CBC), which measures the number of red and white blood cells and platelets in the blood. Other tests may include a bone marrow biopsy, which is used to examine the cells in the bone marrow, and a cytogenetic analysis, which looks for changes in the chromosomes.

Imaging Studies

Imaging studies, such as X-rays, CT scans, and MRI scans, may be used to look for any abnormalities in the bones or other organs. These studies can help the doctor determine if the cancer has spread to other parts of the body.

Conclusion

The diagnosis of AML is based on a combination of physical examination, laboratory tests, and imaging studies. Early diagnosis and treatment are important for the successful treatment of AML. If you have any signs or symptoms of AML, it is important to see your doctor right away.

Questions for Your Doctor

Diagnosis and Prognosis

Discuss the diagnosis and prognosis with your doctor. Ask questions about the type of AML you have, the stage of the disease, and the expected outcome. Your doctor can provide more information about the diagnosis and prognosis.

Treatment Options

Discuss the treatment options available for AML. Ask your doctor about the risks and benefits of each treatment option. Your doctor can provide more information about the different treatments available and help you decide which one is best for you.

Side Effects

Discuss the potential side effects of treatment with your doctor. Ask your doctor about the common side effects of the treatments and how to manage them. Your doctor can provide more information about the side effects and how to manage them.

Follow-up Care

Discuss the follow-up care with your doctor. Ask your doctor about the tests and treatments that may be needed after treatment. Your doctor can provide more information about the follow-up care and help you plan for it.

Support Services

Discuss the support services available with your doctor. Ask your doctor about the resources available to help you cope with the diagnosis and treatment. Your doctor can provide more information about the support services available and help you access them.

Treatment

Chemotherapy

Chemotherapy is the most common treatment for AML. It involves using drugs to kill cancer cells. Chemotherapy drugs can be taken orally or injected into a vein. The drugs travel through the bloodstream and target cancer cells throughout the body. Chemotherapy is usually given in cycles, with each cycle lasting several weeks.

Radiation Therapy

Radiation therapy is another treatment option for AML. It involves using high-energy beams of radiation to kill cancer cells. Radiation therapy is usually given in short, daily doses over a period of several weeks. It is often used in combination with chemotherapy.

Stem Cell Transplantation

Stem cell transplantation is a treatment option for some people with AML. It involves replacing the patient's diseased bone marrow with healthy stem cells. The stem cells can come from the patient's own body or from a donor. Stem cell transplantation is a complex procedure that carries a risk of serious side effects.

Targeted Therapy

Targeted therapy is a type of treatment that uses drugs to target specific molecules in cancer cells. These drugs can help stop the growth and spread of cancer cells. Targeted therapy is usually used in combination with other treatments, such as chemotherapy or radiation therapy.

Immunotherapy

Immunotherapy is a type of treatment that uses the body's own immune system to fight cancer. It involves using drugs to boost the body's natural defenses against cancer cells. Immunotherapy is usually used in combination with other treatments, such as chemotherapy or radiation therapy.

Treatment for AML can be complex and may involve a combination of different therapies. It is important to talk to your doctor about the best treatment plan for you. With the right treatment, many people with AML can achieve remission and lead a normal life.

Drugs & Medications

Symptoms of AML

The symptoms of AML can vary from person to person, but some of the most common symptoms include:

  • Fatigue
  • Fever
  • Shortness of breath
  • Weight loss
  • Easy bruising or bleeding
  • Frequent infections
  • Pain in the bones or joints

Diagnosis of AML

If you experience any of the symptoms of AML, it is important to see your doctor right away. Your doctor will perform a physical exam and order tests to diagnose AML. These tests may include a complete blood count, bone marrow biopsy, and imaging tests such as an X-ray or CT scan.

Treatment of AML

The treatment for AML depends on the type and stage of the cancer. Common treatments for AML include chemotherapy, radiation therapy, stem cell transplant, and targeted therapy. Your doctor will discuss the best treatment plan for you based on your individual needs.

Drugs for AML

There are several drugs that are used to treat AML. These drugs can be used alone or in combination with other treatments. Common drugs used to treat AML include:

  • Cytarabine (Ara-C)
  • Daunorubicin (Cerubidine)
  • Idarubicin (Idamycin)
  • Methotrexate (Rheumatrex)
  • Mitoxantrone (Novantrone)
  • Gemtuzumab ozogamicin (Mylotarg)
  • Fludarabine (Fludara)
  • Cladribine (Leustatin)

Your doctor will discuss the best drug or combination of drugs for your individual needs. It is important to follow your doctor’s instructions and take all medications as prescribed.

Diet

Nutrition Tips for People with AML

  • Eat a variety of foods from all the food groups, including fruits, vegetables, whole grains, lean proteins, and low-fat dairy.
  • Choose foods that are high in fiber, such as whole grains, fruits, and vegetables.
  • Choose foods that are low in saturated fat, trans fat, and cholesterol.
  • Limit your intake of processed and sugary foods.
  • Drink plenty of fluids, such as water, to stay hydrated.
  • Avoid alcohol and caffeine.
  • Talk to your doctor or a registered dietitian about your individual nutritional needs.

Foods to Include in Your Diet

When following a diet for AML, it is important to include foods that are high in essential vitamins and minerals. Some of the best foods to include in your diet are:

  • Leafy green vegetables, such as spinach and kale
  • Berries, such as blueberries and strawberries
  • Whole grains, such as oats and quinoa
  • Lean proteins, such as fish, chicken, and beans
  • Low-fat dairy, such as yogurt and milk
  • Nuts and seeds, such as almonds and chia seeds

Foods to Avoid

It is also important to avoid certain foods when following a diet for AML. These include:

  • Processed and sugary foods, such as candy and baked goods
  • High-fat foods, such as fried foods and red meat
  • Alcohol and caffeine
  • Foods that are high in sodium, such as canned soups and processed meats

Conclusion

Eating a healthy diet is an important part of managing AML. Eating a variety of nutrient-rich foods can help to reduce the risk of infection, improve energy levels, and support overall health. It is important to talk to your doctor or a registered dietitian about your individual nutritional needs.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is important for everyone, but especially for those living with AML. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help to boost the immune system and provide the body with the nutrients it needs to fight the disease. Additionally, it is important to stay hydrated by drinking plenty of water throughout the day.

Get Plenty of Rest

Getting enough rest is essential for those living with AML. Fatigue is a common symptom of the disease, so it is important to get plenty of rest and take breaks throughout the day. Additionally, it is important to create a sleep schedule and stick to it. This will help to ensure that the body is getting the rest it needs to fight the disease.

Exercise Regularly

Exercising regularly can help to improve the quality of life for those living with AML. Exercise can help to reduce fatigue, improve mood, and boost the immune system. It is important to talk to a doctor before starting any exercise program, as some activities may be too strenuous for those with AML. Low-impact activities such as walking, swimming, and yoga are all good options.

Manage Stress

Stress can have a negative impact on the body, so it is important to find ways to manage it. Relaxation techniques such as deep breathing, meditation, and yoga can help to reduce stress levels. Additionally, it is important to take time for yourself and do activities that you enjoy. This can help to reduce stress and improve overall wellbeing.

Seek Support

Living with AML can be difficult, so it is important to seek support from family and friends. Additionally, there are support groups available for those living with AML. These groups can provide a safe space to talk about the challenges of living with the disease and connect with others who are going through the same experience.

Conclusion

Living with AML can be challenging, but there are lifestyle changes that can help to improve the quality of life. Eating a healthy diet, getting plenty of rest, exercising regularly, managing stress, and seeking support are all important steps to take. By making these changes, those living with AML can lead a healthier and happier life.