A to Z of leukaemia: what the words mean

Being diagnosed with leukaemia can be overwhelming. You might read or hear medical terms you haven't heard before. Find out what they mean.

A


Active monitoring

A way of monitoring your health when you have a blood cancer that doesn’t need immediate treatment. You have regular check-ups and you also monitor your own symptoms.

Acupuncture

A type of complementary therapy where fine needles are inserted into certain areas of your body.

Acute lymphoblastic leukaemia (ALL)

A fast-growing type of blood cancer that affects blood cells called lymphoblasts.

Acute megakaryoblastic leukaemia (AMKL)

A rare subtype of acute myeloid leukaemia.

Acute myeloid leukaemia (AML)

A fast-growing type of blood cancer that starts in blood-forming cells called myeloid stem cells.

Acute myelomonocytic leukaemia (AMML)

A rare subtype of acute myeloid leukaemia.

Acute promyelocytic leukaemia (APL)

A rare subtype of acute myeloid leukaemia.

Advance decision

A legal document where you make a record of any treatments you do not want to have in the future (also called a living will).

Advance statement

A document where you make a record of how you would like to be cared for in the future.

Allogeneic

Using cells from a donor.

Anaemia

A low red blood cell count.

Anaesthetic

A medicine to numb part of your body (local anaesthetic) or send you to sleep (general anaesthetic) so you don’t feel any pain during medical procedures.

Anagrelide

A medicine to reduce the number of platelets in your blood.

Antibody

An immune system protein that helps fight infections by sticking to targets on the surface of cells that don’t belong in your body.

Antibody therapy

A lab-made antibody that sticks to targets on cancer cells, so your immune system can kill the cells.

Antibody-drug conjugate

A lab-made antibody joined to a cancer drug.

ATO (also known as arsenic trioxide)

A medicine used to treat acute promyelocytic leukaemia.

ATRA (also known as tretinoin)

A medicine used to treat acute promyelocytic leukaemia.

Atypical CML

A blood condition that used to be confused with chronic myeloid leukaemia (CML). It is now called MDS/MPN with neutrophilia.

Autoimmune condition

A condition that happens when your immune system mistakenly attacks your own body.

Autologous

Using cells from your own body.

Azacitidine

A chemotherapy medicine used to treat acute myeloid leukaemia, chronic myelomonocytic leukaemia, myelodysplastic syndromes and some other blood cancers.

B


B cell or B lymphocyte

A type of white blood cell that makes antibodies.

BCR-ABL1 gene

A changed gene found in chronic myeloid leukaemia, some types of acute lymphoblastic leukaemia and some other types of blood cancer.

Biopsy

A test to take a small sample of tissue.

Bispecific antibody

A lab-made antibody that sticks to two different targets – one on a cancer cell, and one on an immune cell that can kill the cancer cell.

Blast phase

A period when chronic myeloid leukaemia is growing rapidly or aggressively.

Blastic plasmacytoid dendritic cell neoplasm (BPDCN)

A fast-growing type of cancer that starts in immature blood cells.

Blasts

Immature blood cells.

Blood transfusion

A procedure to give you donated blood through a drip into a vein.

Bone marrow

The spongy centre of some of your larger bones where blood cells are made.

Bone marrow test

A test to take a sample of the spongy tissue from the centre of a bone, usually your pelvis.

BRAF gene

The gene that codes for the BRAF protein, which helps control growth, development, and survival of cells.

Busulfan

A type of chemotherapy medicine that stops cancer cells in your bone marrow multiplying.

C


CALR

A protein called calreticulin that helps your cells to function normally.

CALR gene

The gene that codes for a protein called calreticulin (CALR).

Cancer

An illness that happens when abnormal cells grow and divide uncontrollably.

Capillary leak syndrome

A condition that happens when fluid leaks out of small blood vessels and builds up around your body.

CAR T-cell therapy

A treatment that involves modifying your own immune cells in a lab so they can recognise and kill cancer cells.

CD (followed by a number)

Proteins found on the surface of white blood cells.

Central line

A long, thin plastic tube used to give you medicines into your veins or take blood. It enters the skin in your arm or your chest and ends in a large vein near your heart.

Central nervous system

Your brain and spinal cord.

Cerebrospinal fluid (CSF)

The fluid that surrounds your brain and spinal cord.

Chemoimmunotherapy

Chemotherapy given alongside medicines that use your own immune system to fight disease.

Chemotherapy

Medicine that kills cancer cells or stops them dividing and multiplying.

Chromosomes

Long strands of DNA inside your cells. Each chromosome contains lots of different genes.

Chronic

Long-term or lasting for a long time.

Chronic lymphocytic leukaemia (CLL)

A slow-growing type of blood cancer that affects blood cells called lymphocytes.

Chronic myeloid leukaemia (CML)

A slow-growing type of blood cancer that starts in blood-forming cells called myeloid stem cells.

Chronic myelomonocytic leukaemia (CMML)

A rare type of blood cancer that mainly affects blood cells called monocytes. It can also affect other blood cells.

Chronic phase

The period when chronic myeloid leukaemia is growing slowly.

Clinical nurse specialist (CNS)

An experienced nurse who has specialised in a particular area of nursing. They can offer you expert care, support, advice and guidance.

Clinical trials

Research studies that aim to find out what treatments work best for particular conditions.

Clotting factors

Proteins that help your blood clot.

Complementary therapies

Therapies used alongside your medical treatment to help you feel better physically and emotionally.

Complete remission

When tests and scans can’t find any cancer left in your body.

Conditioning therapy

The treatment you have to get your body ready for a stem cell transplant.

Consolidation treatment

Treatment that aims to kill any leukaemia cells that may be left after induction therapy.

CT scan

A scan that uses X-rays and a computer to make detailed pictures of the inside of your body.

Cytarabine

A chemotherapy medicine.

Cytogenetic response

How well leukaemia is responding to treatment based on the number of bone marrow cells that have a chromosome change.

Cytogenetic tests

Lab tests that look at the chromosomes in your cells.

Cytomegalovirus (CMV)

A common virus that is usually harmless. It can cause problems after a stem cell transplant or if you have a weakened immune system.

Cytoreductive

A type of treatment that aims to reduce the number of cancer cells in your body.

D


Daratumumab

An antibody therapy used to treat multiple myeloma and, sometimes, other types of blood cancer.

Daunorubicin

A chemotherapy medicine.

Dermatologist

A doctor who specialises in skin diseases.

Diabetes

A common lifelong condition that causes your blood sugar level to become too high.

Differentiation syndrome

A life-threatening reaction to some cancer medicines. It can happen when white blood cells mature rapidly and release too many immune chemicals.

DNA

The genetic code that tells your cells how to grow and behave.

Donor lymphocyte infusion

A dose of white blood cells from a healthy donor that you have through a drip into a vein.

Down syndrome

A condition when a person is born with an extra copy of chromosome 21.

E


ECG

A test to check the electrical signals in your heart.

Embryo

An unborn baby at an early stage of development.

End of life care

Treatment to help you live as well as possible until you die.

Engraftment syndrome

Symptoms that sometimes happen when stem cells settle into the bone marrow after a stem cell transplant.

Erythema nodosum

A non-cancerous skin condition that causes painful red or dark patches. It can look different on different skin tones.

Essential thrombocythaemia (ET)

A type of myeloproliferative neoplasm where your body makes too many platelets.

F


Familial

A condition that may affect several members of the same family.

Fatigue

Extreme tiredness or lack of energy that can interfere with your usual activities and doesn’t get better when you rest.

First-line treatment

The first treatment you have for your condition.

Frontline treatment

Another name for first-line treatment.

G


Gene

A section of DNA that tells your cells how to make a particular protein.

Gene panel test

A lab test that looks for changes in more than one gene. Different panels test for gene changes linked to different conditions.

Genetic

Relating to genes.

Genetic changes

Changes to genes that can affect the proteins a cell makes. This may change how a cell behaves and grows. They are also known as genetic variants or mutations.

Genetic variants

Changes to genes that can affect the proteins a cell makes. This may change how a cell behaves and grows. They are also known as genetic changes or mutations.

Gout

A type of arthritis in which small crystals of uric acid form inside and around your joints. This can cause sudden, severe joint pain.

Graft failure

When a stem cell transplant does not work because the donor stem cells do not settle into your bone marrow or start making new blood cells.

Graft versus host disease (GvHD)

When immune cells that grow from donor stem cells mistakenly attack your healthy cells.

Granulocyte

A type of white blood cell that helps fight infections.

Growth factor

A type of medicine that boosts your blood cell counts.

H


Haematocrit

The percentage of red blood cells in your blood.

Haematological response

How well leukaemia is responding to treatment based on your blood cell counts.

Haematologist

A doctor who specialises in diseases of the blood and bone marrow.

Haematology

The branch of medicine that deals with diseases of the blood and bone marrow.

Haemoglobin

The protein in your red blood cells that transports oxygen around your body.

Hairy cell leukaemia (HCL)

A very rare slow-growing type of blood cancer that affects white blood cells called lymphocytes. When you look at them under a microscope, the cells look hairy.

Hickman line

A type of central line that enters the skin in your chest and goes into a large vein near your heart. It’s used to give you medicines or take blood samples.

Hormone

A natural chemical that carries messages around your bloodstream to control many of your body’s functions.

Human leukocyte antigen (HLA)

Protein markers on the surface of cells that your immune system uses to work out what is ‘you’ and what is not.

Hydroxycarbamide

A chemotherapy medicine that helps lower your blood cell counts.

I


Idarubicin

A chemotherapy medicine.

Immune system

The cells and systems in your body that protect you from infection.

Immunophenotyping

Lab tests to find out what proteins are on the surface of your cells.

Immunosuppressants

Medicines that lower your immune system.

Induction treatment

Treatment that aims to kill as many leukaemia cells as possible.

Inflammation

Your body’s response to an illness, injury or something that doesn’t belong in your body.

Intensive treatment

Strong treatment that aims to cure your leukaemia. It usually happens in phases, sometimes called induction, consolidation or post-induction, and maintenance.

Interferon

A protein that helps your body fight viruses.

Intolerance

Having side effects that are hard to cope with.

Intrathecal chemotherapy

Chemotherapy given into the fluid around your spinal cord through a needle in your back.

Inversion

When a chromosome breaks in two places, the broken piece is reversed and then goes back into the chromosome back-to-front.

J


JAK inhibitors

Targeted medicines that block proteins involved in blood cell production.

JAK2

A protein that helps regulate blood cell production.

JAK2 gene

The gene that codes for the JAK2 protein.

L


Large granular lymphocytic leukaemia (LGLL)

A rare slow-growing type of blood cancer that affects white blood cells called lymphocytes. When you look at them under a microscope, the cells are larger than usual and contain granules.

Leukaemia

A group of cancers that usually start in the bone marrow and lead to high numbers of abnormal blood cells.

Leukapheresis

A procedure to remove some of your white blood cells.

Liver

A large organ in your body that sits under your ribs on the right. It helps fight infection and disease, balances your hormones, cleans your blood and processes food.

Lumbar puncture

A test to collect a sample of the fluid that surrounds your brain and spinal cord through a needle in your back.

Lymph nodes

Small, bean-shaped structures in your neck, armpits, groin and other parts of the body that are part of your immune system. They may become swollen when you are unwell.

Lymphatic system

A network of tubes, tissues and organs throughout your body, which helps protect you from infection.

Lymphocyte

A type of white blood cell that helps fight infections.

Lymphocyte doubling time

The time it takes for the number of lymphocytes in your blood to double. It can help work out when you need to start treatment for chronic lymphocytic leukaemia.

Lymphoma

A type of cancer that affects blood cells called lymphocytes in your lymphatic system.

M


Maintenance treatment

Treatment that aims to reduce the risk of your leukaemia coming back.

Matched unrelated donor (MUD)

A stem cell donor who is not related to you but has a matching tissue type.

Medical exemption certificate

A certificate that entitles you to free NHS prescriptions in England.

Mini-stroke

A temporary disruption in the blood supply to your brain. Also called a transient ischaemic attack (TIA).

Molecular response

How well leukaemia is responding to treatment based on the level of changed genes in your blood or bone marrow.

Molecular tests

Lab tests that look for particular gene changes in your cells.

Monocyte

A type of white blood cell that helps fight infections.

MPL gene

The gene that codes for a protein that helps control the number of blood cells in your bone marrow, particularly your platelets.

MRD (measurable residual disease)

Low levels of leukaemia cells left in your body after treatment. MRD negative means none can be detected.

MRI scan

A scan that uses strong magnets to take detailed pictures of the inside of your body.

Mucositis

Inflammation of the cells lining your mouth and gut.

Multidisciplinary team (MDT)

The healthcare professionals who work together to treat you.

Mutations

Changes to genes that can affect the proteins a cell makes. This may change how a cell behaves and grows. They are also known as genetic changes or variants.

Myeloblast

A type of immature white blood cell.

Myelodysplastic syndromes (MDS)

A type of cancer where your bone marrow produces immature, abnormal blood cells that do not work properly.

Myelodysplastic/myeloproliferative neoplasm (MDS/MPN)

Blood cancers that have features of both a myelodysplastic syndrome (MDS) and a myeloproliferative neoplasm (MPN).

Myelofibrosis (MF)

A type of cancer where your bone marrow becomes filled with scar tissue, which stops it making enough healthy blood cells.

Myeloid

Relating to bone marrow.

Myeloid stem cells

Blood-forming cells.

Myeloma

A type of cancer that develops from white blood cells in your bone marrow called plasma cells.

Myeloproliferative neoplasm not otherwise specified (MPN NOS)

A myeloproliferative neoplasm (MPN) that does not fit into any of the other categories.

Myeloproliferative neoplasms (MPN)

Blood cancers that develop when cells in your bone marrow grow out of control and make too many blood cells.

N


Neutropenia

A low level of white blood cells called neutrophils.

Neutrophilia

A high level of white blood cells called neutrophils.

Neutrophils

White blood cells that help you fight inflammation and infection.

Non-intensive treatment

Gentler treatment options that usually aim to control your leukaemia rather than cure it.

O


Off-label

When a doctor prescribes a medicine that’s approved for one condition to treat a different condition.

P


Palliative care

Treatment to help relieve symptoms and side effects and improve your quality of life.

Palpitations

Unusual or uncomfortable heartbeat, like an irregular, fast, pounding or fluttering beat.

Partial remission

When there’s less cancer in your body than there was before treatment, but it hasn’t gone completely.

Pathologist

A doctor who specialises in testing blood and tissue samples.

PCR test

A lab test that looks for particular pieces of genetic code in your cells.

Peginterferon

A medicine that alters the way your immune system works and helps stop cancer cells growing and multiplying.

PET/CT scan

A scan that uses a special dye containing a harmless radioactive sugar and specialised X-rays to take pictures of the inside of your body.

Pharmacist

A specialist in medicines and how they work.

Philadelphia chromosome

A changed chromosome found in chronic myeloid leukaemia, some types of acute lymphoblastic leukaemia and some other types of blood cancer.

PICC line

A type of central line that enters the skin in your upper arm and goes into a large vein near your heart. It’s used to give you medicines or take blood samples.

Plasmacytoid dendritic cell

A type of blood cell that helps your body fight viruses by making a protein called interferon.

Platelet

A type of blood cell that helps your blood clot and stops bleeding.

PML-RARA gene

A changed gene found in acute promyelocytic leukaemia.

Polycythaemia vera (PV)

A type of cancer where your bone marrow makes too many red blood cells.

Post-ET MF

Secondary myelofibrosis (MF) that develops from another type of blood cancer called essential thrombocythaemia (ET).

Posterior reversible encephalopathy syndrome (PRES)

A serious but treatable condition affecting the brain. It can be a side effect of some cancer treatments.

Pre-fibrotic myelofibrosis (pre-fibrotic MF)

Early stage myelofibrosis (MF) before your bone marrow becomes scarred.

Prehabilitation (prehab)

A way of getting ready for treatment before it starts by improving your general health.

Primary myelofibrosis (MF)

When myelofibrosis (MF) develops in a person who has not had bone marrow problems before.

Primary resistance

When cancer does not respond to your first treatment.

Prognosis

The expected outcome of your condition, based on your individual characteristics.

Prolymphocyte

A type of immature blood cell.

Prolymphocytic leukaemia (PLL)

A very rare type of blood cancer that affects immature white blood cells called prolymphocytes.

Promyelocyte

A type of immature blood cell.

Prostate cancer

A common cancer in men that starts in the prostate gland. This is a walnut-sized gland at the base of the bladder.

Proteins

The building blocks of every cell, tissue and organ in your body. Your body needs proteins for growth, repair, and to fight infections.

Q


Quizartinib

A targeted medicine that blocks a protein called FLT3. It is used to treat some people with acute myeloid leukaemia.

R


Radiographer

A healthcare professional who uses specialist equipment to take images of the inside of your body. They work as part of a team to diagnose and treat illnesses.

Radiologist

A doctor who specialises in using medical imaging to diagnose, treat and monitor diseases and injuries.

Radiotherapy

Treatment that uses high doses of radiation to kill cancer cells.

Red blood cell

A type of cell in your blood that carries oxygen around your body.

Refractory

Cancer that does not respond well to your first treatment.

Relapse

When cancer comes back after successful treatment.

Remission

When tests or scans after treatment can find little or no cancer left in your body.

Rheumatoid arthritis

An autoimmune condition that causes your immune system to attack your joints. You may have pain, stiffness and swelling in your joints.

Ruxolitinib

A targeted medicine sometimes used to treat polycythaemia vera, myelofibrosis and graft versus host disease.

S


Second-line treatment

Treatment you have if your first treatment is unsuccessful.

Secondary myelofibrosis (MF)

When myelofibrosis develops from another myeloproliferative neoplasm MPN, such as essential thrombocythaemia (ET) or polycythaemia vera (PV).

Secondary resistance

When treatment works at first but then stops working.

Spleen

A fist-sized organ that sits under your ribs on the left side. It filters and stores blood and makes some blood cells.

Splenectomy

Surgery to remove your spleen.

Stem cell transplant

Treatment that replaces damaged or abnormal blood-forming cells in your bone marrow with healthy ones.

Stem cells (blood)

Immature cells in your bone marrow that can develop into all the different blood cells your body needs.

Stem cells (general)

Immature cells that can develop into many different types of cells in your body.

Steroids

Medicines that reduce inflammation and have anti-cancer effects.

Stroke

A serious medical condition that happens when the blood supply to a part of your brain is suddenly cut off.

Supportive care

Medicine to prevent or treat symptoms or side effects.

Sweet syndrome

A rare, non-cancerous skin condition that causes a high temperature and tender red or purple lumps or patches. This can look different in different skin tones.

T


T cell or T lymphocyte

A type of white blood cell that recognises and destroys damaged or infected cells.

Tagraxofusp

A targeted medicine sometimes used to treat blastic plasmacytoid dendritic cell neoplasm (BPDCN).

Targeted treatments

Medicines designed to block specific proteins on cancer cells.

Tinnitus

Hearing noises that do not come from an outside source, like a buzzing, ringing or whooshing sound in your ears.

Total body irradiation (TBI)

Radiotherapy to your whole body. You might have it as part of conditioning therapy before a stem cell transplant.

Total parenteral nutrition (TPN)

Having food through a drip into a vein (or your central line).

Transformation

When one type of blood cancer develops into another type, usually a faster-growing one.

Transfusion

Having blood or blood products through a drip into a vein.

Translocation

When part of a chromosome swaps over with part of a different chromosome, or another part of the same chromosome.

Tumour lysis syndrome

A serious side effect of some cancer treatments. It happens if a large number of cancer cells die quickly and release chemicals into your bloodstream.

Tyrosine kinase

A protein that helps control the growth and multiplication of cells. If it is abnormal, your bone marrow may make too many white blood cells.

Tyrosine kinase inhibitor (TKI)

A type of targeted medicine that blocks a protein called tyrosine kinase. This protein is abnormal in some types of blood cancer.

U


Ultrasound

A scan that uses sound waves to look at the inside of your body.

Uric acid

A waste product your body makes when it breaks down chemicals called purines. These are naturally produced in your body and also come from foods or drinks.

V


Variant

A change to a gene that can affect the proteins a cell makes. This may change how a cell behaves and grows. It is also known as a genetic change or mutation.

Venesection

A simple procedure to remove some of your blood, similar to giving blood.

Venetoclax

A targeted medicine sometimes used to treat chronic lymphocytic leukaemia, acute myeloid leukaemia, and sometimes other types of blood cancer.

Veno-occlusive disease (VOD)

Blockage of the small blood vessels in your liver. It can sometimes happen after a stem cell transplant.

W


White blood cells

Cells in your blood that help your body fight infections.

X


X-ray

A scan that uses low doses of radiation to take images of the inside of your body.

Z


Zanubrutinib

A targeted medicine that blocks a protein called BTK. It is used to treat some people with chronic lymphocytic leukaemia.

About our information

This information is aimed at people in the UK. We do our best to make sure it is accurate and up to date but it should not replace advice from your health professional. Find out more about our information.

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