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  • Acute Myeloid Leukaemia(AML)

Acute Myeloid Leukemia (AML) Treatment in Lucknow | Hemato-Oncology Care | I D Cancer Center

Overview

Acute Myeloid Leukemia (AML) is a fast-growing cancer of the bone marrow and blood, where immature white blood cells (myeloblasts) multiply rapidly and crowd out normal blood cells. AML requires urgent diagnosis and specialized treatment, as timely intervention significantly improves outcomes.

At I D Cancer Center, we offer comprehensive diagnostic facilities, expert oncologists, and modern chemotherapy and targeted therapy protocols to manage AML effectively.


How AML Develops

AML begins in the bone marrow when genetic mutations cause immature cells to grow uncontrollably. These abnormal cells enter the blood and interfere with:

  • Red blood cell production → anemia

  • White blood cell function → infections

  • Platelet formation → bleeding/bruising


Common Symptoms

AML symptoms appear quickly and may include:

Blood-Related Symptoms

  • Fatigue, weakness, or breathlessness

  • Pale skin (anemia)

  • Frequent infections or fever

  • Easy bruising or bleeding

  • Nosebleeds / bleeding gums

General Symptoms

  • Bone or joint pain

  • Loss of appetite

  • Weight loss

  • Night sweats

Less Common Symptoms

  • Swollen lymph nodes

  • Enlarged liver or spleen

  • Skin rashes or spots (leukemia cutis)

Seek medical attention immediately if symptoms appear suddenly.


Risk Factors

Most people with AML have no clear risk factor, but some conditions increase risk:

  • Older age (>60 years)

  • Previous chemotherapy or radiotherapy

  • Smoking

  • Exposure to benzene or chemicals

  • Genetic disorders (e.g., Down syndrome)

  • Blood disorders: MDS, MPN

  • Family history of leukemia


Diagnosis at I D Cancer Center

We provide complete hemato-oncology workup:

1. Blood Tests

  • Complete blood count (CBC)

  • Peripheral smear

  • LDH and other markers

2. Bone Marrow Tests

  • Bone marrow aspiration & biopsy

  • Morphology and blast percentage

  • Cytogenetics (karyotyping)

  • Flow cytometry

  • Molecular analysis (FLT3, NPM1, CEBPA, etc.)

3. Imaging (when needed)

  • Ultrasound

  • Chest X-ray

  • CT scan for complications

Our Multidisciplinary Tumor Board reviews each case to create a personalized plan.


Treatment Options

AML requires urgent, structured therapy in phases:


1. Induction Chemotherapy

Aim: Achieve complete remission by reducing leukemia blasts.

Common regimen:

  • “7+3” protocol (Cytarabine + Anthracycline)


2. Consolidation Therapy

Aim: Eliminate remaining leukemia cells and prevent relapse.
Options include:

  • High-dose cytarabine

  • Combination chemotherapy


3. Targeted Therapy

Based on mutation profile:

  • FLT3 inhibitors

  • IDH1/IDH2 inhibitors

  • BCL-2 inhibitors (Venetoclax)
    Improves outcomes in elderly or high-risk patients.


4. Stem Cell Transplant (SCT)

Recommended for:

  • High-risk AML

  • Relapsed disease

  • Poor prognostic markers
    Offers the best chance of long-term cure in select patients.


5. Supportive & Palliative Care

Critical part of AML treatment:

  • Infection control

  • Blood/platelet transfusions

  • Growth factors

  • Nutritional support

  • Management of treatment side effects


Prognosis

AML prognosis depends on:

  • Age

  • Cytogenetic/molecular profile

  • Response to induction therapy

  • Overall health

With modern protocols, many patients achieve remission and long-term survival.