Blood Cancer Screening

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Your doctor may use a number of lab and imaging tests to diagnose a blood cancer. Currently, there are no widely recommended screening tests to detect leukemia, lymphoma, myeloma or other blood cancers before symptoms occur. Understanding your risk for blood cancer is important for early detection and improved treatment options. At Houston Methodist, we offer comprehensive consultations to help you understand your risks and take proactive steps to protect your health.

Risk Factors for Leukemia, Lymphoma & Myeloma

A risk factor is anything that increases your odds of developing blood cancer, including genetic, environmental and lifestyle factors. It is important to be aware of your individual risk factors. 

One or more risk factors does not guarantee you will develop leukemia, lymphoma or myeloma. At the same time, few or no risk factors does not mean you will not develop blood cancer. Lifestyle and environmental factors can contribute to overall risk 

To discuss your specific risks and prevention tactics, book an appointment with one of our specialists. 

Leukemia Risk Factors

Risk factors vary by the type of leukemia. Common factors include: 

 

  • Age – Some forms of leukemia occur primarily in children, while others are most common in older adults. 
  • Chemical exposure – Exposure to chemicals such as benzene and petrochemicals can raise your risk for leukemia. 
  • Family history – Your risk of developing leukemia is increased if a family member has had the disease. 
  • Genetic syndromes – Some genetic disorders heighten the risk of developing leukemia. 
  • Radiation exposure – Exposure to high levels of radiation — such as in a nuclear accident — increases your risk. 
  • Sex – Leukemia is slightly more common in men than women. 
  • Smoking – Smoking is a known risk factor for acute myelogenous leukemia (AML). 
  • Previous cancer treatment – Certain chemotherapies and radiation therapy for other cancers are risk factors for AML. 
  • Other blood diseases – diseases such as myeloproliferative neoplasms (polycythemia vera, essential thrombocythemia, myelofibrosis) increase the risk for AML.

Lymphoma Risk Factors

Risk factors vary by the type of lymphoma. Common factors include: 

 

  • Age – Some lymphomas such as Hodgkin’s disease are common in younger people, but most occur in people as they get older. 
  • Autoimmune diseases – Autoimmune disorders such as rheumatoid arthritis and Sjögren syndrome — and the drugs used to treat them — may increase the risk for certain lymphoma types. 
  • Chemical exposure – Long-term exposure to pesticides, benzenes and petrochemicals may increase your risk. 
  • Smoking – Tobacco exposure, especially smoking, increases your risk. 
  • Family history – Your risk of developing lymphoma is increased if a family member (especially a first-degree relative such as a parent or sibling) has had the disease. 
  • Geography – Hodgkin’s disease is less common in Asian countries. 
  • Infections – Infections, including human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), human T-cell leukemia virus and human herpes virus-8, increase your risk.  
  • Radiation exposure – Exposure to high levels of radiation — such as in a nuclear accident — increases your risk. 
  • Race and sex – Some forms of lymphoma are more prevalent depending on your race or sex. 

Myeloma Risk Factors

Risk factors vary by the type of myeloma. Common risk factors include:

 

  • Age – The risk of myeloma increases with age, particularly in people over the age of 60. 
  • Family history – A family history (including a parent or sibling) of myeloma can increase your risk. 
  • Obesity – Being overweight or obese increases the risk of developing myeloma. 
  • Personal history – Having a history of solitary plasmacytoma (a tumor of the bone or soft tissue) or other plasma cell disorders such as monoclonal gammopathy of undetermined significance (MGUS), increases your risk. 
  • Race – Myeloma is more common in African Americans than in other races. 
  • Sex – Myeloma is more common in men than in women. 

About Blood Cancer Screening & Risks

Why are early screening tests not available for blood cancer?

There are no early screening tests available for blood cancers like leukemia, lymphoma or myeloma due to these factors: 

 

  • the complexity and variability of these diseases 
  • the diverse types and presentations of blood cancers 
  • the lack of universally accepted biomarkers for early detection 

 

Unlike some solid tumors, such as breast cancer or prostate cancer, blood cancers have multiple subtypes with varying characteristics and progression patterns. This makes it challenging to develop a one-size-fits-all screening test. 

There is an absence of reliable and specific biomarkers. Current biomarkers are useful to monitor disease progression and response to treatment, though not for early detection.

What causes leukemia, lymphoma and myeloma?

There are three main types of blood cancers: leukemia, lymphoma and myeloma

Leukemia 

Leukemia is cancer of the blood or bone marrow. It includes four main types: 

 

  • acute lymphoblastic leukemia (ALL)
  • acute myeloid leukemia (AML)
  • chronic lymphocytic leukemia (CLL) 

  • chronic myeloid leukemia (CML)

 

Leukemia occurs due to excessive production of abnormal white blood cells in the bone marrow. This limits the ability of the bone marrow to produce enough red blood cells (which carry oxygen and remove carbon dioxide) and platelets (needed for blood clotting). 

Leukemia can spread to many other regions of the body. 

Lymphoma

Lymphoma is cancer of the lymph nodes. It includes two main types: Hodgkin’s lymphoma and non-Hodgkin’s lymphoma

Lymphoma is a blood cancer that affects the lymphatic system — the tissues, organs, glands (lymph nodes) and vessels that collect and filter excess fluid (called lymph) and return it back into the bloodstream as plasma. As part of the immune system, the lymphatic system also produces some white blood cells. 

Lymphoma occurs when abnormal white blood cells grow out of control, eventually accumulating to levels that negatively affect the function of your lymph nodes, spleen and liver. 

Myeloma 

Myeloma is also called multiple myeloma. This is cancer of a type of white blood cell — or immune cell — called plasma cells. 

Myeloma occurs when plasma cells (antibody-producing white blood cells) in the bone marrow become abnormal and grow uncontrollably. This limits the ability of bone marrow to produce healthy blood cells and platelets. 

These abnormal plasma cells don't produce functional antibodies. Instead, they produce nonfunctional antibodies — which contributes to issues as their levels build. 

How can I reduce my risk of developing blood cancer?

While we cannot change certain risk factors such as age or genetics, we can reduce risk by avoiding exposure to radiation and harmful chemicals, not smoking, and managing infections and autoimmune conditions. 

Attend regular medical checkups and consultations with your health care provider for personalized risk assessments and prevention tactics. 

A Life-Saving Lymphoma Treatment

Sophie Hoelscher was in her 20s, recently engaged, planning a wedding and moving into a new house when she was diagnosed with bulky Hodgkin’s lymphoma. She received advanced treatment from her team of experts at Houston Methodist. “They saved my life here,” Sophie says.  Read Sophie’s Story ➝

Blood Cancer Symptoms

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Know these symptoms of leukemia, lymphoma and myeloma.
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Blood Cancer Treatments

Find details about treatment options for leukemia, lymphoma and myeloma.
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