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Treating Acute Lymphocytic Leukemia (ALL)

If you've been diagnosed with acute lymphocytic leukemia (ALL), your cancer care team will discuss your treatment options with you. Your options may be affected by the ALL subtype, as well as certain other prognostic factors, as well as your age and overall state of health.

(Note: This information is about acute lymphocytic leukemia (ALL) in adults. To learn about ALL in children, see Leukemia in Children.)

How is acute lymphocytic leukemia treated?

The main types of treatment used for ALL include:

Common treatment approaches

Treatment of ALL typically lasts for about 2 years. It is often intense, especially in the first few months of treatment, so it's important that you are treated in a center that has experience with this disease. 

The treatment approach for children with ALL can be slightly different from that used for adults. It's discussed separately in Treatment of Children With Acute Lymphocytic Leukemia (ALL).

Who treats ALL?

Based on your treatment options, you may have different types of doctors on your treatment team. These doctors could include:

  • A hematologist: a doctor who treats disorders of the blood
  • A medical oncologist: a doctor who treats cancer with medicines

You might have many other specialists on your treatment team as well, including physician assistants, nurse practitioners, nurses, nutrition specialists, social workers, and other health professionals. 

Making treatment decisions

It’s important to discuss all of your treatment options and their goals and possible side effects, with your treatment team to help make the decision that best fits your needs. Some important things to consider include:

  • Your age and overall health
  • The type of ALL you have
  • The likelihood that treatment will cure you (or help in some other way)
  • Your feelings about the possible side effects from treatment

It’s also very important to ask questions if there is anything you’re not sure about.

In most cases ALL can progress quickly if not treated, so it's important to start treatment as soon as possible after the diagnosis is made. But if time permits, it is often a good idea to seek a second opinion. A second opinion can give you more information and help you feel more confident about the treatment plan you choose.

Thinking about taking part in a clinical trial

Clinical trials are carefully controlled research studies that are done to get a closer look at promising new treatments or procedures. Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. 

If you would like to learn more about clinical trials that might be right for you, start by asking your doctor if your clinic or hospital conducts clinical trials. 

Considering complementary, integrative, and alternative methods

You may hear about alternative or complementary methods to relieve symptoms or treat your cancer that your doctors haven’t mentioned. These methods can include vitamins, herbs, and special diets, or other methods such as acupuncture or massage, to name a few.

Complementary methods are treatments that are used along with your regular medical care. Alternative treatments are used instead of standard medical treatment. Although some of these methods might be helpful in relieving symptoms or helping you feel better, many have not been proven to work. Some might even be harmful. For example, some supplements might interfere with chemotherapy.

Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known (or not known) about the method, which can help you make an informed decision. 

Help getting through cancer treatment

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

Whether you are thinking about treatment, getting treatment, or not being treated at all, you can still get supportive care to help with pain or other symptoms. Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. 

Different types of programs and support services may be helpful, and they can be an important part of your care. These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help.

The American Cancer Society also has programs and services - including rides to treatment,  lodging, and more - to help you get through treatment. Call our Cancer Knowledge Hub at 1-800-227-2345 and speak with one of our caring, trained cancer helpline specialists. Or, if you prefer, you can use our chat feature on cancer.org to connect with one of our specialists.

Choosing to stop treatment or choosing no treatment at all

For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but it’s important to talk to your doctors as you make that decision. Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms.

People who have advanced cancer and who are expected to live less than 6 months may want to consider hospice care. Hospice care is designed to provide the best possible quality of life for people who are near the end of life. You and your family are encouraged to talk with your doctor or a member of your supportive care team about hospice care options, which include hospice care at home, a special hospice center, or other health care locations. Nursing care and special equipment can make staying at home a workable option for many families.

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor. Your doctor may have reasons for suggesting a treatment plan different from these general treatment options. Don't hesitate to ask your cancer care team any questions you may have about your treatment options.

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