Below is an instruction from Human. Write a response.
    ### Instruction:
    What is the outlook for Adult Acute Lymphoblastic Leukemia ?
    ### Response:
    Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:         - The age of the patient.    - Whether the cancer has spread to the brain or spinal cord.    - Whether there are certain changes in the genes, including the Philadelphia chromosome.
    