Blood Cancer Symptoms

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Blood cancer occurs when your DNA mutates and begins to tell your cells to grow and multiply in an abnormal way. This change impacts your normal cell production.  

When this happens, you may experience symptoms very similar to other, more common diseases. When you notice a new or persistent symptom, it is important to identify the root cause. 

The early detection of leukemia, lymphoma, myeloma and other blood cancers allows for timely intervention and treatment. This can significantly improve patient outcomes. 

If you experience any symptoms of blood cancer, your physician may perform tests, scans or biopsies to confirm a diagnosis and, if diagnosed, determine the specific type and stage of the cancer.

General Symptoms of Leukemia, Lymphoma & Myeloma

Many early symptoms of blood cancer are general and can be mistaken for other illnesses. At the same time, any of these symptoms may be caused by something other than cancer. See your physician if you experience any persistent or unexplained symptoms such as: 

 

  • Abdominal swelling 
  • Bone or joint pain 
  • Coughing or labored breathing 
  • Easy bleeding or bruising 
  • Extreme fatigue or weakness 
  • Headaches, seizures or vomiting 
  • Infections and fever 
  • Loss of appetite and unexplained weight loss 
  • Night sweats 
  • Rashes or gum problems 
  • Swollen lymph nodes 
  • Swelling of the face and arms

Symptoms of Specific Blood Cancers

Leukemia

Leukemia symptoms often vary, depending on the type and stage of the disease. Common symptoms include:

 

  • Bone pain – Bone pain or tenderness is caused by the accumulation of abnormal leukemia cells in the bone marrow. The pain is often felt in the long bones of the arms and legs. 
  • Easy bruising or bleeding – Leukemia can cause a shortage of platelets, leading to easy bruising, frequent nosebleeds, bleeding gums and prolonged bleeding from minor cuts. 
  • Fatigue and weakness – Persistent fatigue and generalized weakness are common due to anemia, which results from the lack of healthy red blood cells. 
  • Fever and night sweats – Unexplained fevers and night sweats can occur due to the body's response to the abnormal cells. 
  • Frequent infections – Due to the decreased production of healthy white blood cells, individuals with leukemia are more susceptible to infections, which may be recurrent and severe. 
  • Pale skin – Anemia can also lead to pallor or pale skin. 
  • Shortness of breath – Reduced red blood cell count can cause shortness of breath, especially during physical activity.

Lymphoma

Lymphoma symptoms typically include a wide range of signs that can vary, depending on the type and location of the lymphoma. Common symptoms include: 

 

  • Chest pain and persistent cough – When lymphoma affects the thymus gland or lymph nodes in the chest, it can cause chest pain, coughing or trouble breathing due to pressure on the airway or lungs. 
  • Fatigue and weakness – General fatigue and a feeling of weakness are common as the body's energy reserves are depleted. 
  • Fever and night sweats – Recurrent fevers and excessive night sweats, often drenching, are common systemic symptoms. 
  • Itchy skin – Persistent itching, known as pruritus, can be a symptom, particularly in Hodgkin lymphoma. 
  • Loss of appetite – Reduced appetite and subsequent weight loss can be signs of lymphoma. 
  • Swollen lymph nodes – Painless swelling of the lymph nodes in the neck, armpits or groin is the most common symptom. These enlarged nodes can become tender or painful over time. 
  • Unexplained weight loss – Significant and unintentional weight loss can occur in advanced stages of lymphoma. 

Myeloma

Myeloma, also known as multiple myeloma, may cause a variety of symptoms due to the proliferation of abnormal plasma cells in the bone marrow. Common myeloma symptoms include: 

 

  • Anemia – A shortage of red blood cells can cause persistent fatigue, weakness and shortness of breath. 
  • Bone fractures and bone pain – Myeloma often weakens the bones, leading to fractures and severe bone pain, especially in the spine, ribs and pelvis. 
  • Bruising and bleeding – Reduced platelet count can cause easy bruising, frequent nosebleeds and bleeding gums. 
  • Frequent infections – Similar to other blood cancers, myeloma can impair the immune system, resulting in frequent and recurrent infections. 
  • Hypercalcemia – Elevated calcium levels in the blood can occur due to bone breakdown, causing symptoms like nausea, vomiting, constipation and confusion. 
  • Kidney issues – Myeloma proteins (M proteins) can damage the kidneys, leading to kidney dysfunction or failure. Symptoms may include frequent urination, excessive thirst and swelling in the legs. 
  • Nerve damage – Myeloma can lead to peripheral neuropathy, resulting in numbness, tingling or pain in the hands and feet. 

Monitor Your Symptoms at Home

It is important to stay vigilant about any persistent or worsening symptoms. Regular self-monitoring and consulting a physician when symptoms begin or worsen can lead to an earlier diagnosis and better outcomes. Self-exams include: 

 

  • Abdominal examination – Press around your abdomen to feel for lumps or tenderness. 
  • Joint and bone examination – Move and press on joints and bones to check for pain or swelling. 
  • Lymph node examination – Check your neck, underarms and groin for lumps or swelling. 
  • Oral examination – Check gums for swelling or bleeding. Look inside your mouth for sores or patches. 
  • Skin and nail examination – Look for unusual bruising, rashes or changes in color. 
  • Symptom tracking – Keep a journal noting the onset, duration and intensity of symptoms. 

 

If you notice any new symptoms or existing symptoms that persist or worsen, schedule an appointment with your health care provider. 

From Flu Symptoms to a Leukemia Diagnosis

Diana experienced flu-like symptoms. Unable to get in to see her primary care provider, she scheduled an appointment at Houston Methodist., where she was diagnosed with acute myeloid leukemia. Diana credits the positivity of her nurses and care team with getting her through treatment and back to living life to the fullest.  Read Diana’s Story ➝

Blood Cancer Diagnosis

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Find information about the tests used to diagnose 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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