Final: Blood Cells Cont. Flashcards
Leukemia location
Marrow or blood
Lymphoma location
Lymphatic tissue
Anemia is the MC initial feature of
Acute leukemia
2 types of acute leukemia’s
Acute lymphoblastic leukemia
Acute myeloid leukemia
Sudden and “stormy” onset are indicative of
Acute leukemia
MC pediatric cancer
Acute lymphoblastic leukemia
ALL MC diagnosed at
Age 3, later with T cell age 15
Prognosis of ALL
80% cure rate
Aggressive cancer of lymphoblastic that can be Pre-B or Pre-T
ALL
MC form of ALL
Pre-B cell
Marrow/blood
Cancer of mature B cells with immunosuppression
Chronic lymphocytic leukemia (CLL
MC leukemia of adulthood
CLL
CLL MC diagnosed at
Age 60
Males 2X
CLL in ___ and survival is ___
Incurable
4-6 years
Pancytopenia (cells displacing marrow) and hypogammaglobulinemia observed in
CLL
Follicular lymphoma
Cancer of B cells in follicular center with nodular growths
25% of adult NHLs are
Follicular lymphomas
Centrocytes are ___ and are observed in ___
Lymphocytes with cleaved nuclei
Follicular Lymphoma
Follicular lymphoma affects
Males and females equally
> age 50
Follicular lymphoma is ___ and average prognosis is
Incurable
7-9 years
40% of follicular lymphoma progress into
Diffuse B cell lymphoma (aggressive)
85% of follicular lymphoma have ___, which causes what mutation
T(14;18)
BCL2 gene
Decrease B cell apoptosis
Cancer of mature B cells constituting 5% of NHLs
Mantle cell lymphoma
Mantle cell lymphoma MC diagnosed
Males
>50 years
Mantle cell lymphoma is ___ and prognosis is
Incurable
4-6 years
Mantle cell lymphoma involves what mutation
T(11;14)
Dysfunctional cyclins
Mantle cell lymphoma is extranodal and common places include
Marrow
Spleen
Liver
GI
MC lymphoma of adulthood
Diffuse large B cell lymphoma
35% NHL cases
Risks for diffuse large B cell lymphoma
EBV
Immunosuppression
Diffuse large B cell lymphoma MC age
60
Any age (15% pediatric lymphomas)
Diffuse large B cell lymphoma may invade ___ and without treatment it is
Any organ
Rapidly fatal
Cancer of B cells that classically affects African children
Burkitt lymphoma
“Starry sky” histology involving B cell proliferation and apoptosis is observed in
Burkitt lymphoma
Risks for burkitt lymphoma
EBV
Mutated MYC gene via t(8;14)
Fastest growing human tumor
Burkitt lymphoma
Burkitt lymphoma is MC extranodal and in Africa affects ___ and in US affects ___
Maxilla and mandible
Abdomen, GI, ovaries
Favorable prognosis and most children are cured is a feature of
Burkitt lymphoma
Plasma cell cancer MC diagnosed in the elderly, age ___, this gender, and what ethnicity
Multiple myeloma
Age 70
Males
African
Multiple myeloma creates a “____” feature
Punched out (osteolytic lesions)
Renal failure due to multiple myeloma with what proteins
Myeloma nephrosis
bence-jones proteins
Diagnosis of multiple myeloma
Multifocal lytic lesions
Bence-jones proteinuria
M-spike on electrophoresis
Neurological symptoms of multiple myeloma
HA
Dizziness
Tinnitus
Confusion
Lethal complications from multiple myeloma
Bacterial infections
Kidney failure
MC sites for lytic lesions
Vertebral column Ribs Skull Pelvis Femur Clavicle Scapula
in order