Blood Cancer, also known as haematological cancer, is a cancer that affects the production and function of blood cells. It originates in the bone marrow, where the blood cells are manufactured. The cancer disrupts the normal process of blood cell development. This leads to the growth of abnormal blood cells that do not function properly. It impacts the body’s ability to fight infection, clot blood, and carry oxygen.
Leukaemia, lymphoma, and myeloma are some of the most common types of blood cancer. Blood cancer can also occur due to changes or mutations in the DNA of the blood cells. This leads to changed behaviour of the blood cells. It can happen during a person’s lifetime, and is not genetic, which is heritable. Blood Cancer is the topic of the chapter Human Health and Disease. It is a chapter in the biology subject.
A broad category of cancers that might damage your blood, bone marrow, or lymphatic system is referred to as blood cancer. When something goes wrong during the production of your blood cells, cancer occurs. Blood cancer is brought on by modifications (mutations) in blood cells' DNA. Your blood cells can become affected by blood cancer. Some of the most prevalent types of blood cancer include leukaemia, lymphoma, and myeloma. Additional types include MPNs and MDS.
Blood cancer is when there is abnormal or overproduction of the blood cells from the bone marrow. The three main types of blood cancers are explained below-
Leukaemia: It is a specific kind of cancer that develops in the bone marrow and blood, and it is brought on by the rapid creation of aberrant leukocytes (white blood cells). Because there are so many aberrant white blood cells, the bone marrow cannot make enough erythrocytes (red blood cells) or platelets to fight infection.
Lymphoma: It is a specific kind of blood cancer that impacts the lymphatic system, which eliminates extra fluid from the body and generates immune cells. White blood cells called lymphocytes fight infection. The lymphoma cells that develop from abnormal lymphocytes grow and accumulate in your lymph nodes and other tissues. These malignant cells weaken your immunity and immune system over time.
Myeloma: The cancer is a plasma cell cancer. White blood cells, called plasma cells, help your body create antibodies that fight infections and disease. Myeloma cells stop the body from producing antibodies normally, weakening your immune system and making you more vulnerable to infection.
Although it is thought that a mix of hereditary and environmental factors contributes to the development of blood cancers, the risk factors for blood cancer are not entirely known. Smokers, radiation or chemically exposed individuals are more likely to acquire certain forms of blood cancers. Additional risk factors for lymphomas and leukaemias include infections with the Epstein-Barr virus, HIV, and human T-cell lymphoma/leukaemia virus.
Usually, an abnormal and excessive proliferation of white blood cells is the cause of cancer in the blood. About 10% of all malignancies that are diagnosed each year in the United States are blood cancers. Therefore, they should be diagnosed soon to receive early treatment.
Leukaemia: The results of a complete blood count (CBC) test, which measures the ratio of white blood cells to red blood cells and platelets, will be given to your doctor.
Lymphoma: A biopsy, which involves removing a small piece of tissue to be inspected under a microscope, will be required by your doctor. To look for swollen lymph nodes, your doctor may occasionally additionally request an X-ray, CT, or PET scan.
Myeloma: To identify the chemicals or proteins created as a result of myeloma development, your doctor may conduct a complete blood count (CBC) or other blood or urine tests. Bone marrow biopsy, X-rays, MRIs, PET scans, and CT scans can occasionally be used to determine the existence and degree of myeloma spread.
Many variables will affect the course of treatment. Your age, the type of blood cancer you have, how quickly it is spreading, and whether or not it has spread to other parts of your body are a few of these factors.
Numerous types of blood malignancies are now very curable since blood cancer treatments have significantly improved over the past few decades. The following are typical treatments:
Chemotherapy: To kill and stop the growth of cancer cells, anticancer medications are injected into the body (or occasionally taken as pills).
Radiation therapy: High-energy rays are used in this type of cancer treatment to destroy cancer cells.
Targeted therapies: Drugs are used in this type of cancer treatment to specifically attack cancerous blood cells while sparing healthy ones. The most typical kind of treatment for leukaemia is targeted therapy.
Stem cell transplantation: After receiving treatment to eliminate cancerous blood cells, your body can be infused with healthy stem cells to assist in resuming the creation of healthy blood.
Cancer Surgery: Some lymphomas can be treated with this procedure, which entails removing the afflicted lymph nodes.
Immunotherapy: With this therapy, the immune system is triggered to target and destroy cancer cells.
In the United States, one person is given a leukaemia, lymphoma, or myeloma diagnosis every three minutes.
In the US, 186,400 individuals are anticipated to receive a diagnosis of leukaemia, lymphoma, or myeloma in 2021.
The anticipated 1,898,160 new cancer cases that will be diagnosed in the US in 2021 will include 9.8% of new cases of leukaemia, lymphoma, and myeloma.
A person with blood cancer passes away in the US every 9 minutes on average. More than six people each hour, or over 158 persons per day, are represented by this statistic.
In the US, an estimated 57,750 people will pass away from leukaemia, lymphoma, and myeloma in 2021. Based on the predicted number of 608,570 cancer deaths in 2021, these disorders are anticipated to cause 9.5% of cancer-related deaths.
Bruises: Typically, patches begin as red and gradually turn another colour and become darker. They frequently feel soft. Bruises on black and brown skin may be hard to spot at first, but as they get worse, they become darker than the surrounding skin.
Rashes: Frequently manifest as bigger blotches or groups of small spots (petechiae) (purpura). They may seem purple or darker than the surrounding skin on black and brown skin. They usually seem red or purple on lighter skin. The petechiae and purpura don't fade if you press on them.
Paleness (pallor): Pallor is frequently more obvious right away on light skin. People with black or dark skin may seem greyish and have paler-than-normal palms. Pallor in their lips, gums, tongue or nail beds may also be noticed. Pallor is visible in all skin tones by lowering the bottom eyelid. If the inside is pale pink or white instead of the usual dark pink or red, it is a sign of pallor.
One of the most important components of our body is involved in blood cancer. Blood circulates throughout our body, supplying the organs with oxygen, nutrients, hormones, and antibodies while also removing waste products and pollutants. When cancer develops in the blood, it impairs its functionality and causes a wide range of diseases. Depending on the type, blood cancers present various symptoms.
In its early stages, blood cancer typically exhibits no distinctive symptoms. However, the following warning signs and symptoms are concerning, so you should discuss them with your doctor:
Slow healing: Do not ignore a wound that is taking longer than usual to heal, and call your doctor. Due to low platelet levels, which are essential for blood clotting and wound healing, people with leukaemia frequently bleed and get bruised.
Quickly gets sick: Low amounts of white blood cells and plasma in blood cells, which create antibodies and defend humans from several illnesses, are found in blood cancer patients. Consequently, a person with blood cancer is sick more often and is sick for longer than usual.
Diminished immunity: Due to decreased disease-fighting blood cells and poor lymphatic drainage, the individual with blood cancer has a weakened immune system and is susceptible to infection.
Lumps and swelling: One may experience swelling or an odd mass in the lymph nodes, including the tonsils, testicles, or armpits.
Rectal bleeding: When urinating, blood discharge may be observed.
Change in urinary habits: Blood in the urine or a burning sensation are two symptoms of blood cancer (hematuria).
Skin changes: Blood cancer patients may experience bleeding, rashes, and bruising. On people with different skin tones, these symptoms may seem differently coloured.
Pallor: Due to an inadequate supply of red blood cells in their bodies, people with blood malignancies may seem extremely pale.
The majority of blood cancers still cannot be prevented, despite extensive research. Although there are no known absolute risk factors for this malignancy, lowering the known ones is crucial. Additionally, carrying out some of these easy tasks will strengthen your immunity and help to somewhat lower the risk.
Avoid Exposure to Radiation: Avoid high radiation doses as much as you can because during several treatment procedures, patients are frequently exposed to high-intensity radiation, increasing their risk of dying from blood cancer.
Avoid Exposure to Chemicals: Avoid exposure to certain dangerous chemicals, such as pesticides, as this may raise your risk of developing blood cancer. If your line of work requires you to be around hazardous substances, you must take the necessary precautions. The likelihood of this malignancy can also rise with benzene exposure.
Avoid Smoking or Tobacco in Every Form: The use of tobacco products, such as cigarettes, should be entirely avoided as it poses a significant risk for several diseases, including cancer.
Regular Exercise: The body needs exercise on a regular basis to stay healthy. There are fewer chances of developing blood cancer if you exercise for 30 minutes each day, but there is currently no proof to back this up.
Eat Healthily: Consuming nutritious diet aids in the prevention of diseases. The risk of blood cancer is somewhat decreased by increasing the consumption of fresh produce that is high in fibre and minerals.
Q1. Statement A: Cancerous cells show uncontrolled growth in contact with other cells.
Statement B: Normal cells have contact inhibition property but cancerous cells don't have this property.
Option 1: Both statements are correct and statement B is the correct explanation for statement A.
Option 2: Both statements are correct and statement B is not a correct explanation for statement A.
Option 3: Statement A is correct and statement B is incorrect.
Option 4: Statement A is incorrect and statement B is correct.
Correct answer: 1)Both statements are correct and statement B is the correct explanation for statement A is correct.
Explanation:
In our body, cell growth and differentiation are highly controlled and regulated. In cancer cells, there is a breakdown of these regulatory mechanisms.
Normal cells show a property called contact inhibition by which contact with other cells inhibits their uncontrolled growth.
Cancer cells appear to have lost this property. As a result of this, cancerous cells just continue to divide giving rise to masses of cells called tumors.
Hence, option 1)Both statements are correct and statement B is the correct explanation for statement A is correct.
Q2. Which of the following methods used to detect cancer is based on molecular biology technique?
Option 1: X- Ray
Option 2: MRI
Option 3: Cellular oncogenes
Option 4: Both 1 & 2
Correct answer: 3) Cellular oncogenes.
Explanation:
Techniques of molecular biology can be applied to detect genes in individuals with inherited susceptibility to certain cancers.
Identification of such genes, which predispose an individual to certain cancers, may be very helpful in prevention of cancers.
Such individuals may be advised to avoid exposure to particular carcinogens to which they are susceptible (e.g., tobacco smoke in case of lung cancer).
Hence, the correct answer is option 3) Cellular oncogenes.
Q3. Which of the following is the diagnostic test for cancer?
Option 1: Widal
Option 2: Tridot
Option 3: Biopsy
Option 4: ELISA
Correct answer: 3)Biopsy.
Explanation:
Detecting and diagnosing cancer is essential before it expands to different areas of the body. Determining cancer-associated genes is critical for cancer precluding.
The following techniques are used to recognize cancer-
Tissue sample examination.
Histopathological examinations of tissue.
X-ray imaging method.
Techniques in molecular biology.
Magnetic resonance imaging.
Computed tomography.
In a biopsy, a piece of the tissue that is potentially affected by the disease is excised and then it is divided into very thin sections, stained, and examined under a microscope (histopathological examinations) by a pathologist.
Methods like radiography (employing X-rays), CT (computed tomography), and MRI (magnetic resonance imaging) are very helpful in identifying cancers in the internal organs.
Cancer markers or antibodies that are specific for cancer antigens are employed in localizing particular cancers.
Hence, the correct answer is option 3)Biopsy.
Also Read-
Changes (mutations) in the DNA of blood cells are the root cause of all blood malignancies. The blood cells begin to behave strangely as a result of this. These changes are frequently related to factors outside of our control. They are not hereditary defects that can be passed down to offspring because they occur during a person's lifespan.
The lymph nodes grow during the first stage of blood malignancy. This occurs as a result of a sudden rise in lymphocyte density. Since cancer has not yet progressed or impacted any other physical organs, the risk is quite minimal at this point.
Any lymphoid or blood-forming cell has the potential to develop into a leukemic cell. After that, the cell divides to make numerous other cancer cells. These cells may eventually outnumber the bone marrow, overflow into the blood, and invade other tissues.
Our blood cells' ability to produce and perform is impacted by blood malignancies. Your bone marrow, where blood is made, is where the majority of these malignancies begin. Your bone marrow is where stem cells mature and give rise to red blood cells, white blood cells, or platelets.
Age is a factor in most leukaemia risks. Patients with acute myeloid leukaemia (AML), chronic lymphocytic leukaemia (CLL), or chronic myeloid leukaemia (CML) are typically 65 years of age or older at the time of diagnosis. However, those under the age of 20 account for the majority of instances of acute lymphocytic leukaemia (ALL).
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