NCCN Guidelines for Patients
Acute Lymphoblastic Leukemia, Version 1.2017
is an outcome or
improvement caused by treatment. Doctors
first check for a treatment response at the
end of induction therapy. To check how well
treatment worked, your doctor will test a
sample of blood and bone marrow with a
The goal of ALL treatment is to result in a
complete remission. Even with a complete
remission, there may still be a small
number of leukemia cells left in the body
that can’t be seen with a microscope. This
Once ALL is in complete remission, very
sensitive tests are used to check for MRD.
After a complete remission, more treatment
is needed to kill every last leukemia cell
and keep them from coming back. This is
is when ALL comes back after
a complete remission. Sometimes the
leukemia cells don’t respond to induction
therapy. ALL that is not in complete
remission after induction is called
A complete remission is when:
No leukemia cells are seen in your bone
marrow with a microscope.
No more than 5 out of 100 cells in your
bone marrow are blast cells.
No blast cells are in your bloodstream.
All blood cell counts are back to normal.
All signs and symptoms of ALL are gone.