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In 1827, a 63-year-old
florist had died due to unknown causes. This man became
ill with a swelling in the abdomen, fever and weakness
and he died soon after admission to the hospital. At the
time of autopsy, he was found to have an enormous liver
and spleen - the latter weighing some 10 pounds, which is
heavier than a newborn baby. His physician described this
man's blood's strange appearance as "....like
gruel....resembling in consistency and colour the yeast
of red wine.....one might have asked if it were not
rather laudable pus, mixed with the blackish colouring
matter than blood." This was the first accurate
description of a case of leukaemia. Although Alfred
Velpeau, the physician, had no idea what he was
describing, he provided a record that guided other
doctors.
Today, we know that leukaemia is
the most common form of cancer in children. In recent
years, the outlook for children with leuakaemia has
imroved dramatically from 100% mortality forty years ago
to more than 50% cure rate today.
Leukaemia is often treated, in the
initial phase, with intensive chemotherapy to kill all
cancer cells in the body. The patient may become sicker
during treatment because of the high dosages of
anticancer drugs used. After this initial treatment
phase, radiation and additional drugs, used in lower
doses, may be administered to ensure complete eradication
of all leukaemic cells in the body.
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