Blood cancers (leukemia, lymphoma, and multiple myeloma) are among the most common forms of cancer in Belgium.
A blood test can provide valuable information about your general health.
If you have questions about this, you can contact your general practitioner. If further evaluation is needed, they can refer you to a hematologist.
Blood disorders
Which conditions are diagnosed, monitored and treated by dr. Van Hecke?
Anemia
A shortage of red blood cells or hemoglobin, causing fatigue, shortness of breath and paleness. Causes include iron deficiency, chronic disease, inherited disorders or bone marrow problems. Diagnosed through blood tests; treatment targets the underlying cause.
Vitamin deficiencies (B12, folate)
Deficiency can lead to anemia, fatigue, paleness and sometimes neurological problems. Causes include poor absorption, nutritional deficits or medication. Diagnosed with blood tests; treated with supplements (tablets or injections).
Hereditary hemochromatosis
An inherited condition where too much iron is absorbed, accumulating in organs like the liver, heart and pancreas. Symptoms include fatigue, joint pain and skin changes. Diagnosed with blood and genetic testing. Treated mainly by phlebotomy (blood removal).
Autoimmune hemolytic anemia (AIHA)
The immune system destroys red blood cells, leading to anemia, fatigue, jaundice and sometimes an enlarged spleen. Diagnosed with specific blood tests. Treated with corticosteroids, immunotherapy or transfusions.
Paroxysmal nocturnal hemoglobinuria (PNH)
A rare bone marrow disorder causing fragile red blood cells that break down, leading to anemia, dark urine and increased risk of thrombosis. Diagnosed by flow cytometry. Treatment may include complement inhibitors or stem cell transplantation.
Immune thrombocytopenia (ITP)
An autoimmune condition where platelets are destroyed, causing bruising, nosebleeds and sometimes severe bleeding. Diagnosed by exclusion. Treatments include corticosteroids, immunotherapy or splenectomy.
Hemoglobinopathies
Inherited conditions such as thalassemia, sickle cell disease, G6PD deficiency and spherocytosis. These affect hemoglobin structure or production, leading to anemia, fatigue and organ damage. Diagnosed by blood and genetic testing. Treatment ranges from transfusions to stem cell transplantation.
Primary and secondary immune deficiencies
Primary: inherited defects in the immune system. Secondary: caused by diseases, medication or infections such as HIV. Lead to recurrent infections. Diagnosed with immunological testing. Treatments include antibiotics, immunoglobulin infusions or stem cell transplantation.
Hodgkin lymphoma
A malignant disease of the lymph nodes, often presenting with enlarged nodes, night sweats, fever and weight loss. Prognosis is usually good with modern therapy; cure is possible in the majority.
Non-Hodgkin lymphoma
A diverse group of malignant disorders of the lymphatic system, ranging from indolent to aggressive. Symptoms include swollen nodes, fever, night sweats and weight loss. Diagnosis requires biopsy and imaging. Treatment may include chemotherapy, immunotherapy or targeted therapy; sometimes watchful waiting.
MGUS (monoclonal gammopathy of undetermined significance)
Usually found by chance. Harmless in most cases, but requires monitoring due to risk of progression to multiple myeloma.
Multiple myeloma and amyloidosis
Cancer of plasma cells that can cause bone damage, anemia and kidney problems. Amyloidosis is due to abnormal protein deposits in organs, sometimes together with myeloma. Treatments include chemotherapy, targeted therapy and stem cell transplantation.
MDS (myelodysplastic syndrome) and aplastic anemia
Disorders of the bone marrow causing low blood counts. Symptoms include anemia, infections and bleeding. Diagnosis requires bone marrow examination. Treatment ranges from supportive care to stem cell transplantation.
Acute leukemias (AML, ALL)
Aggressive blood cancers where immature cells rapidly accumulate. Cause anemia, infections and bleeding. Diagnosed by blood and bone marrow tests. Treatment is intensive, with chemotherapy, targeted therapy and sometimes stem cell transplantation.
Polycythemia vera (PV)
A myeloproliferative disorder where too many red cells are produced, increasing clot risk. Symptoms include headache, itching after showering and facial redness. Often linked to JAK2 mutation. Treated with phlebotomy, blood thinners and sometimes cytoreductive therapy.
Essential thrombocythemia (ET)
Overproduction of platelets, leading to clotting or bleeding problems. Diagnosed by blood and bone marrow tests. Treatment ranges from aspirin to cytoreductive drugs.
Primary and secondary myelofibrosis
Bone marrow disease with scarring, causing anemia, fatigue and enlarged spleen. May arise on its own or after PV/ET. Treated with supportive care, JAK inhibitors or stem cell transplantation.
Chronic myeloid leukemia (CML)
Caused by the BCR-ABL gene fusion (Philadelphia chromosome). The marrow produces too many white blood cells. Without treatment it progresses to an aggressive phase. Targeted therapy (TKIs) has greatly improved prognosis; long-term remission is possible.
Chronic lymphocytic leukemia (CLL)
The most common adult leukemia, often slow-growing. Sometimes found by chance. Symptoms include fatigue, infections and enlarged nodes. Many patients do not need immediate treatment. Modern targeted drugs have greatly improved outcomes.
Thrombosis and bleeding disorders
Abnormal clotting or bleeding can be life-threatening. Risk factors include inherited traits, surgery and medication. Treatments include blood thinners or clotting factor replacement.
A hematology consultation often starts because of symptoms, family history of blood disorders, or abnormal routine blood tests.
The first visit includes a detailed discussion (anamnesis) of your medical history and current complaints, including:
age, weight, height, occupation, social background
previous illnesses (including childhood illnesses)
family history (parents, grandparents, siblings)
description of your current symptoms
recent travel abroad
diet, allergies, lifestyle factors
Based on this discussion and a physical exam, additional tests may be recommended.
Possible further tests:
Blood tests
Imaging: X-ray, ultrasound, CT, PET-CT, MRI
Biopsy: tissue sample (e.g. from lymph node)
Bone marrow examination: aspiration/biopsy under local anesthesia, about 15–30 minutes
Lumbar puncture: spinal tap to collect fluid for testing
If necessary, referral to a hospital for further tests or treatment will follow.
After diagnosis, your hematologist will discuss treatment options with you.
Treatments may include:
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Blood transfusions
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Vitamin supplementation
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Immunoglobulin infusions
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Hematopoietic growth factors (e.g. EPO)
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Blood thinners or clotting factors
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Chemotherapy or immunotherapy
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Autologous or allogeneic stem cell transplantation
Stem cell transplantation and treatment of acute leukemia are provided in close collaboration with AZ Oostende and AZ Sint-Jan Bruges.
Every day, patients with blood disorders or after major surgery depend on life-saving transfusions or stem cells.
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Blood: a single donation can help several people at once.
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Stem cells: sometimes the only chance of a cure for blood cancer.
Donating is safe and simple and it can save lives.
More information: Red Cross Flanders or the Belgian Stem Cell Registry.
