102 - Acute Lymphoid Leukemia Flashcards

1
Q

In ALL (acute lymphoid leukemia) the malignant cells arise from ____ cells in the BM or ___ system

A

Progenitor

Lymphoid

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2
Q

The disease is characterized by an increase of un-____ and non-___ leukocytes

A

Grown

Functional

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3
Q

Infiltration to the BM leads to the following changes in CBC: (5)

A
  1. Anemia
  2. Granulocytopenia
  3. Thrombocytopenia
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4
Q

Infiltration to the BM leads to the following clinical manifestations: (4)

A
  1. Tiredness
  2. Lethargy
  3. Bleedings
  4. Infections
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5
Q

In CLL ___ are usually the complains leading to seek medical help, rather than ___

A

Clinical symptoms

Palpable mass

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6
Q

In ____, CLL is the most common neoplastic disease, with a peak in the ages of ___

A

Children

3-4

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7
Q

In ___ there are two age peaks: ___ and ___

A

15-24

65+

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8
Q

Some of the congenital disease that may increase the risk factor for CLL include: (5)

A
  1. Down syndrome
  2. Fanconi’s anemia
  3. Klinefelter’s syndrome
  4. Bloom’s syndrome
  5. Neurofibromatosis
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9
Q

Most ALL are either B or T. ___% of the cases in adults are of ___ cells- most commonly CD__ (Common ALL)

A

76%
B
10

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10
Q

Patients with MRD (minimal residual disease) positive are considered to be in ___ risk. In this case ___ should be performed as soon as the first ___ occur

A

High risk
Allogenic BM transplantation
Hematologic remission

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11
Q

MRD negative have a ___% chance for remission

A

20-30%

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12
Q

__% of AML patients will present an increase of __ due to __ in the blood stream, but the rest will have normal/low count. Common signs will be __, __, __

A

60
WBC
blasts
anemia/thrombocytopenia/neutropenia

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13
Q

Diagnosis of AML is based on examining __ and __. Further classification is done by __/__/__

A

peripheral blood
BM
cytochemical/immunological-molecular markers/cytogenetics

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14
Q

The main goal when diagnosing ALL is to differentiate it from __

A

AML

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15
Q

ALL patients BM will show __ in biopsy, and will contain almost only __

A

hypocellularity

blasts

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16
Q

It is important to examine the __ in CLL patients. Remember to give ___ in order to prevent seeding.

A

CSF

MTX

17
Q

The main drugs used in ALL are: 3

A

corticosteroids
vincristine
L-asparaginase

18
Q

__ % of untreated ALL patients will develop __ disease. Treatment can be: 4

A

30
CNS
intrathecal/systemic (MTX)/combined/radiation

19
Q

An important part of treating ALL is __ transplantation. The cells should be collected from the __. The donor can be ___

A

BM
peripheral blood
haploidentical

20
Q

ALL patients with Ph+ should be treated with __ and ___ (__)

A

TKI

antibodies (rituximab- CD20)