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Childhood leukaemia: Pediatric oncologist shares 6 early warning signs parents should never ignore

A persistent fever or sudden bruising in children is more sinister than a seasonal bug. In India, childhood leukaemia often hides behind everyday illnesses. Spotting the early signs could mean the difference between life and loss. Expert in paediatric haematology explains why.

September 25, 2025 / 16:02 IST
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A pediatric oncologist highlights key symptoms that could help in early detection and timely treatment.(Image: Pexels)

Leukaemia, a cancer of the blood and bone marrow, makes up nearly half of all paediatric cancer cases in India. Every year, over 50,000 children in the country are diagnosed with cancer, and a large portion are leukaemia cases. The most common type, Acute Lymphoblastic Leukaemia (ALL), tends to strike children between the ages of 2 and 10.

However, if detected early, the chances of survival are now over 80%, even reaching 90% in some cases, says Pediatric Oncologist Dr Gauri Kapoor, Medical Director, Rajiv Gandhi Cancer Institute and Research Centre (RGCIRC), New Delhi, who also heads Paediatric Hematology and  Oncology at RGCIRC. “Medical advances in diagnostics, targeted therapies and drug delivery have made treatment more effective and outcomes brighter than ever before,” she adds.

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The trouble is, early signs of leukaemia are often subtle, even misleading. A fever that lingers. Tiredness mistaken for laziness. A nosebleed passed off as dry weather. “Because these signs reflect common illnesses, diagnosis is often delayed,” Dr Kapoor told Moneycontrol. “But childhood leukaemia is aggressive and fast-moving. Timely intervention is crucial.” If symptoms don’t go away with routine treatment or seem to pile up together, it’s time to dig deeper. “Parents need to trust their instincts and consult a specialist when things feel off,” she adds.