NCCN Quick Guide™ | Acute Lymphoblastic Leukemia

1 of 2 NCCN QUICK GUIDE tm Acute Lymphoblastic Leukemia, 2019 This NCCNQUICK GUIDE tm sheet summarizes key points from the complet e NCCN Guidelines for Patients ® : Acute Lymphoblastic Leukemia. Th ese guidelines explain which tests and treatments are recommended by experts in cancer. To view and download the guidelines, visit NCC N.or g/patients or, to order printed copies, visit What is ALL? Leukemia is a cancer of blood cells. ALL ( a cute l ymphoblastic l eukemia) consists of abnormal, young white blood cells called lymphoblasts. It is found mostly within bone marrow and blood. 9 What are the tests for ALL? Your blood will be tested for a large number of abnormal lymphoblasts. Doctors also look for certain proteins in and on the surface of the lymphoblasts that are common to ALL. They also look for abnormal genes and chromosomes in the cells. 10 ALL can be B-cell or T-cell type. 10 ALL is called CD20-positive when many of the lymphoblasts have CD20 surface proteins. 10 When ALL has the Philadelphia chromosome, it is called Ph-positive ALL 11 What health care is given before treatment? „„ A report pf your health history and an exam of your body 15 „„ Blood and urine tests 16 „„ A lab test for TLS ( t umor l ysis s yndrome) 17 „„ Tests for certain infections 17 „„ Pictures of the insides of your body if the leukemia may have spread outside of marrow 18 „„ Heart test, a tube placed in a vein, and a lumbar puncture to prepare for chemotherapy 18 „„ A test of your tissue type if you will have a blood stem cell transplant 19 „„ Fertility support if wanted and a pregnancy test if needed 19 NCCN Guidelines for Patients ® Page Number Ü NCCN GUIDELINES FOR PATIENTS ® NCCN QUICK GUIDE tm Acute Lymphoblastic Leukemia 2019