acute leukaemia Flashcards

1
Q

what does acute leukaemia mean

A

uncontrolled proliferation of partially developed white blood cells (blast cells) which build up in the blood over a short period of time

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2
Q

two types of acute leukaemia

A

-acute myeloid
-acute lymphoblastic

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3
Q

which one is more common in old age

A

AML

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4
Q

which one is more common in children

A

ALL

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5
Q

what is acute leukaemia caused by

A

mutation in the precursor blood cells in the bone marrow

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6
Q

what is ALL due to

A

chromosomal translocation
abnormal chromosome number
-results in abnormal intracellular proteins

problem with lymphocyte precursors !

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7
Q

what condition can lead to AML

A

myelodysplastic syndrome

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8
Q

what syndrome is associated with both AML and CML

A

downs syndrome

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9
Q

what do the mutations do in acute leukaemia

A
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10
Q

where do the lymphoblasts settle (cause not enough room for them in blood anymore)

A

-liver
-spleen
-thyroid
-lymph nodes

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11
Q

symptoms of AML and ALL

A
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12
Q

which symptoms are more commonly seen in ALL

A

-pain in lymph nodes
-abdominal fullness (hepatosplenomegaly)

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13
Q

what would be seen in a bone marrow biopsy

A

increase in blast cells

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14
Q

what specific cells can be seen on blood film of AML

A

Auer rods

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15
Q

how do you differentiate AML from ALL on a blood film

A

AML - myeloblasts (with Auer rods)
ALL - lymphoblasts

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16
Q

diagnostic test

A

immunophenotyping

17
Q

treatment for AML

A

2-4 cycles of chemo
-hickman line
marrow transplant

18
Q

treatment of ALL

A

multi agent chemo
marrow transplant
hickman line to provide long-term central venous access
CNS directed treatment