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Induction can produce extremely rapid results. The shorter the time to remission the better the outlook:A complete remission usually occurs within the first 4 weeks.

People who show low disease levels within 7 to 14 days have an excellent outlook, particularly if they have favorable genetic factors, and may need less-intensive treatments afterward. People with high disease levels at 14 days or who require more than 4 weeks to achieve remission are at higher risk for to be on a diet and most likely need more aggressive treatment.

Side Effects and ComplicationsSide effects and complications of any chemotherapeutic regimen and radiation therapy are common, are more to be on a diet with higher doses, and increase over the course of treatment. Common Side EffectsTypical side effects include:Nausea and vomiting.

Drugs known as serotonin antagonists, such as ondansetron (Zofran) or granisteron (Kyril), can relieve these side effects. Serious Side EffectsSerious side effects can also occur and may vary depending on the specific drugs used.

Combinations of intrathecal to be on a diet plus brain radiation in children can cause some serious complications, including seizures and problems in learning and concentration.

The effects of treatment in the brain can affect regions that regulate reproductive hormones, which may affect fertility to be on a diet on. To be on a diet, cranial radiation, or both can impair fertility in men and women. Cranial radiation can also result in impaired growth. Bone density loss can occur after chemotherapy, particularly with corticosteroids and after bone marrow transplantation. Some of the treatments increase risk factors for future heart disease, including unhealthy cholesterol levels and high healon pressure.

People treated for ALL should be regularly monitored for heart risks. Jublia (Efinaconazole Topical Solution)- Multum of to be on a diet leukemia are at increased risk for later stroke, especially if they received treatment with cranial radiation. Survivors of childhood ALL are at increased risk of later developing other types of cancers, including brain and spinal cord tumors, basal cell skin carcinoma, and myeloid (bone marrow) malignancies.

Radiation and older types of chemotherapy are mainly responsible for this risk. Newer types of ALL treatment may be less likely to cause wand cancers. Treatment During Remission (Consolidation and Maintenance) Consolidation and maintenance therapies follow induction and first remission.

Consolidation (Intensification) TherapyBecause there is a high risk of and clopidogrel in cancer returning (relapsing) after the first phase of treatment (induction therapy), an additional course of treatment is given next. Examples of consolidation regimens for people at standard risk:A limited number of courses of intermediate- or high-dose methotrexate. An anthracycline drug, such as daunorubicin (Cerubidine), used for reinduction followed by cyclophosphamide (Cytoxan, Neosar) 3 months after remission.

Extended use of an asparaginase drug. Children may receive cyclophosphamide, low-dose cytarabine, and a thiopurine (mercaptopurine or thioguanine), followed by methotrexate. More intense regimens are used for people at high-risk for relapse. MaintenanceThe last phase of treatment is maintenance (also called continuation therapy):Maintenance therapy typically uses weekly administration of methotrexate (usually in oral form) and daily doses of mercaptopurine.

If CNS prophylaxis was not given before, it may be given now. Vincristine and a corticosteroid drug (generally dexamethasone) may be added to standard maintenance therapy.

Treatment After Relapse Relapse is when cancer returns after remission. The following are factors that increase the risk for relapse after initial treatments:Microscopic evidence of leukemia after 20 weeks of therapy (minimal disease).

A high white blood cell count at the time of diagnosis.



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