73. neoplastic diseases of the hematopoietic system (types of leukemia) Flashcards
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
definition of chronic myelogenous leukemia
neoplastic proliferation of mature myeloid cells, especially granulocyte
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
gene related to chronic myelogenous leukemia
philadelphia chromosome : BCR-ABL fusion (t(9;22))
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
consequence of chronic myeloid leukemia (3)
splenomegaly
transform to acute myeloid leukemia (AML)
transform to acute lymphoblastic leukemia (ALL)
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
definition of myelofibrosis
neoplastic proliferation of mature myeloid cells, especially megakaryocytes
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
Genetic predisposition of myelofibrosis
JAK2 kinase mutation
73-1. chronic myelogenous leukemia, chronic idiopathic myelofibrosis
pathomechanism of myelofibrosis
megakaryocyte produce excess platelet derived growth factor (PDGF), cause marrow fibrosis
73-2. myelodysplastic syndromes
definition of myelodysplastic syndrome
group of blood cancers caused by impaired hematopoietic stem cell
73-2. myelodysplastic syndromes
causes and types of MDS
primary : unknown
secondary : after chemotherapy or radiotherapy
73-2. myelodysplastic syndromes
complications of MDS (4)
cytopenia
hypercellular bone marrow
abnormal maturation of cells
acute myeloblastic leukemia (blast >20%)
73-3. acute myelogenous leukemia
definition of acute myeloid leukemia
neoplastic accumulation of immature myeloid cells (> 20%) in bone marrow
73-3. acute myelogenous leukemia
subtypes of acute myeloid leukemia (3)
acute promyelocytic leukemia
acute monocytic leukemia
acute megakaryoblastic leukemia
73-3. acute myelogenous leukemia
pathomechanism of acute promyelocytic leukemia
promyelocyte accumulation, increase risk of DIC
73-3. acute myelogenous leukemia
cause of acute promyelocytic leukemia
t(15;17), translocation of retinoic acid on chromosome 17 to 15
73-3. acute myelogenous leukemia
associated disease with acute megakaryoblastic leukemia
down syndrome
73-3. acute myelogenous leukemia
cause of acute myelogenous leukemia
myelodysplastic syndromes