#1 Ranked Children’s Hospital by U.S. News & World Report
MyPatients provides referring primary care providers with secure access to their patients’ information.
Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
Innovation insider is a semi-monthly e-newsletter analyzes innovations at Boston Children’s, other academic medical centers and from industry.
Read the latest blog by a Boston Children's doctor, clinician or staff member.
There are many ways you can help children and their families get the care they need.
Specific treatment for leukemia will be determined by your child's physician based on:
Treatment usually begins by addressing the presenting symptoms such as anemia, bleeding, and/or infection. In addition, treatment for leukemia may include (alone or in combination) the following:
What are the various stages of leukemia treatment?
There are various stages in the treatment of leukemia, including the following:
Induction - a combination of chemotherapy and medications given to stop the process of abnormal cells being made in the bone marrow. Remission means the leukemia cells are no longer visible under the microscope when examining either the bone marrow or blood. However, even when remission is achieved, leukemia is still present in the body, which is why further treatment is necessary. the induction phase may last approximately one month and can be repeated if remission is not achieved.
Intensification or consolidation - continued treatment with chemotherapy to kill leukemia cells. Even though leukemia cells are not visible in a blood test or bone marrow examination, they are still present in the body. Therapy in this phase may include chemotherapy given to the central nervous system to kill any leukemia cells present there, or to prevent the spread of leukemia cells to the spinal cord or brain. Radiation therapy may also be given to the brain during this phase.
Maintenance or continuation - the goal of this phase is to eradicate all leukemia from the body. Usually, less intensive chemotherapy is used, much of which can be given at home. This phase can last months to several years. Regular visits to your child's physician are required in order to determine response to treatment, detect any recurrent disease, and manage any side effects of the treatment
What is relapse?
Relapse may occur even with aggressive therapy. Relapse is when the bone marrow begins making abnormal cells again. Relapse can occur during any of the stages of treatment, or may occur months or years after treatment has ended. (Learn about relapsed acute lymphoblastic leukemia.)
Long-term outlook for a child with leukemia:
Prognosis greatly depends on:
As with any cancer, prognosis and long-term survival can vary greatly from child to child. Prompt medical attention and aggressive therapy are important for the best prognosis. Continuous follow-up care is essential for the child diagnosed with leukemia.
Side effects of radiation and chemotherapy, as well as second malignancies, can occur in survivors of leukemia. New methods are continually being discovered to improve treatment and to decrease side effects of the treatment for the disease.
The Pediatric Stem Cell Transplantation Center at Dana-Farber/Boston Children's Cancer and Blood Disorders Center has a highly controlled environment to help protect patients with leukemia, and other conditions undergoing bone marrow and stem cell transplantation. For example, families and clinicians have to clean themselves before being entering the unit.
At Dana-Farber/Boston Children's, we understand that this can make families anxious, and have made improvements to make the hospital environment more comfortable for families, such as providing beds for parents and families to sleep over so they can provide emotional support for their child.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”