Treatment and the treatment process

What is chemotherapy

Chemotherapy is a group of medicines that destroy fast-dividing cells; it is one of the main treatments for leukaemia.

Last updated: ~1 min read
A dividing cell paused.
Figure 1.A dividing cell paused.

01Short answer

Leukaemia cells divide very quickly, and chemotherapy disrupts exactly that division. Usually several medicines are given together to hit the cells in different ways. Normal fast cells (hair, mouth, blood) are affected too, which is where side effects come from.

02Simple explanation

Topic. what chemotherapy is.

Ask. Your team will explain your own situation.

Write down. Your questions.

Overview. The article “Chemotherapy”.

03Scientific explanation

Combination: medicines with different mechanisms lower the risk of resistance.

With other treatments: chemotherapy can be combined with targeted medicines or antibodies.

04What happens in the body?

What chemotherapy is

Leukaemia cells divide very quickly, and chemotherapy disrupts exactly that division. Usually several medicines are given together to hit the cells in different ways. Normal fast cells (hair, mouth, blood) are affected too, which is where side effects come from.

In more detail

Combination: medicines with different mechanisms lower the risk of resistance. With other treatments: chemotherapy can be combined with targeted medicines or antibodies.

Fast and slow cells.
Figure 2.Fast and slow cells.

The overview

This article goes deep into one subject. For the bigger picture, see “Chemotherapy”.

Several medicines — What is chemotherapy
Figure 3.Several medicines — What is chemotherapy

05What chemotherapy is: the steps

Four steps.

Diagnosis — Type identified.1DiagnosisType identified.
Plan — Protocol chosen.2PlanProtocol chosen.
Courses — With breaks.3CoursesWith breaks.
Assessment — Tests.4AssessmentTests.

06What chemotherapy affects

CellsWhat happensResult
Leukaemia cellsDestroyedAim: remission
Blood cellsTemporarily reducedInfection, anaemia risk
Hair, mouthTemporary damageHair loss, sores

07Key terms

Protocol
The written treatment plan.
Cytotoxic
A medicine that stops cell division.

08Key points

  • Everyone’s plan is individual.
  • Write down and bring your questions.
  • Report new symptoms early.
  • Do not change medicines yourself.
  • For food, see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”.
  • Overview: “Chemotherapy”.

09Frequently asked questions

Is chemotherapy needed in every leukaemia?

No; in some types targeted medicines are the main treatment.

Is this the same for everyone?

No; the plan depends on the type of leukaemia and your situation.

Where is the overview?

In the article “Chemotherapy”.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Is chemotherapy needed in every leukaemia?

  2. Is this the same for everyone?

  3. Where is the overview?

My questions

12Sources

  1. National Cancer Institute (NCI). Chemotherapy to Treat Cancer
  2. MedlinePlus. Cancer Chemotherapy
  3. MedlinePlus. Leukemia
  4. Annals of Internal Medicine, 2015. Platelet transfusion: a clinical practice guideline from the AABB
  5. Journal of Clinical Oncology, 2018. Platelet Transfusion for Patients With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update
  6. British Journal of Haematology, 2020. Guidelines on the use of irradiated blood components
  7. National Cancer Institute (NCI). Nausea and Vomiting and Cancer Treatment
  8. American Cancer Society. Long-term and Late Effects of Cancer
  9. Children’s Oncology Group. Survivorship
  10. NHS. Intensive care
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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