FOR THE TRULY BRAVE: Leukemia, Lymphoma, and PCD Integration Flashcards
follicular small cleaved lymphoma affects which population
- middle-aged to elderly adults
prognosis of high white blood count in ALL (good/bad)
- bad
bone marrow aspirate for ALL
- large cells- open chromatin- prominent nucleoli
70% of patients with MM present with
- bone pain
follicular small cleaved lymphoma - patients present with
- high stage disease
prognosis of abnormal(11q23) in ALL
- bad
which is the most common adult leukemia
- CLL
ALL is a malignancy of
- committed lymphoid progenitor cell- pre-T or pre-B
curability of small lymphocytic lymphoma
- incurable
liver or bone marrow involvement or extensive involvement of another extralymphatic organ is what stage
IV
light chains expressed by flow cytometry of normal lymph nodes
- B cells express both kappa and lambda light chains
small lymphocytic lymphoma is the essentially the same disease as
- CLL
- which can manifest clinically over months to years
- CLL- CML
intermediate grade lymphomas
- diffuse large cell lymphoma
CD 1-8 is which cell?
- T cell
mediastinal or soft tissue mass presents in which cell line
- T cell
paracortical hyperplasia is the proliferation of
- T lymphocytes
prognosis of hyperdiploidy in ALL (good/bad)
- good
what kind of disorder is CML classified as
- myeloproliferative
which is the most common cancer in children
- ALL
prognosis of (4;11) in what condition?
What is the prognosis?
- ALL
- poor
prognosis of >10 years of age in ALL (good/bad)
- bad
follicular small cleaved lymphoma flow cytometry light chain
- light chain restricted
- only kappa or lambda
Hodgkin lymphoma flow immunochemistry
- positive for CD30 and CD15
- negative for CD45
bone disease associated with abnormal proliferation of plasma cells in the bone marrow
- lytic lesions/pathologic features- hypercalcemia
small lymphocytic lymphoma affects what cell
- mature B cell
familial syndromes seen in what condition?
what are these syndromes?
- ALL
- down syndrome - neurofibromatosis - bloom syndrome - ataxia telangiectasia
deletions of chromosomes 5 and 7 in AML (good/bad)
- bad
Burkitt’s lymphoma translocation
- t(8;14)
- t(2;8)
- t(8:22)
- c-myc
follicular small cleaved lymphoma translocation
- t(14;18)
- BCL2
FAUX LICK. IT’S A FAUX PAS FOR A 14 YEAR OLD TO LICK AN 18 YEAR OLD. SHIT, ITS PROBABLY ILLEGAL TOO. AND YOU KNOW WHAT COMES AFTER LICKING, 2 BASTARD CHILDREN (BCL2)
diffuse large B-cell lymphoma curability of low stage
- low stage can be cured
lymphoblastic lymphoma flow cytometry
- positive for CD4 and CD8
blast crisis can lead to
- AML- ALL
markers for ALL
- CD19- CD10- TdT- no surface light chain
prognosis of t(12;21) in ALL (good/bad)
- good
JUST THINK THAT 12;21 IS HAPPY NUMBER BECAUSE IT GOES THE SAME WAY FORWARDS AS BACKWARDS
stage 2 of Rai classification
- lymphocytosis- splenomegaly
which cell line of ALL has the worst prognosis
- T cell
case symptoms of Waldenstrom’s macrogammaglobulinemia
- headache- blurred vision- hyperviscosity
AML is a malignancy of
- committed myeloid progenitor cell
which population is impacted by PCD
- adults
t(15;17) in cytogenetics with AML (good/bad)
- good
follicular hyperplasia is the proliferation of
- B lymphocytes
race most impacted by multiple myeloma
- African Americans
what condition is also common in CLL
- autoimmune hemolytic anemia
in ALL malignant cells lose
- ability to differentiate
CD 34 is which cell?
- stem cell
- blast cell
what test do you do after CML is identified?
- quantitative PCR for the bcr/abl transcript
clinical presentation of amyloidosis
- raccoon eyes- enlarged tongue- proteinuria
definition of leukemias
- neoplasms of hematopoietic cells
CLL is a malignancy of
- mature B cells
follicular hyperplasia example
- neck nodes in a patient with strep throat
follicular hyperplasia has a need for
- antibody production
Reed-Sternberg cell is what kind of cell
- activated B cell
bone marrow aspirate of CLL
- variable involvement- loss of heterogeneity
paracortical hyperplasia example
- neck nodes in patients with infectious mono
treatment of APL
- all-trans retinoic acid (ALTRA)- induction chemo
sinus histiocytosis example
- lymph nodes draining a carcinoma
stage 3 of Rai classification
- lymphocytosis- anemia
Abl tyrosine kinase inhibitor of choice
- imatinib
lymphoblastic lymphoma affects which cell
- immature T cells expressing CD3
- coexpressing CD4 and CD8
- and TdT
median survival of stage 4
- 2 years
stage 0 of Rai classification
- lymphocytosis only
Hodgkin lymphoma diagnosis based on
- finding Reed-sternberg cells
stage 1 of Rai classification
- lymphocytosis- lymphadenopathy
what is the median age of diagnosis of ALL
- 11
ALTRA moa
- differentiating agent
is AML curable
- yes
clinical manifestation of ALL
- tumor lysis syndrome- lymph node involvement- mediastinal mass- CNS involvement- testicular involvement in males
multiple myeloma malignant plasma cells interact with
- bone marrow microenvironment
which are composed of myeloid origin
- AML- CML
what is the most common cause of enlarged lymph nodes?
- benign reactive lymphadenopathy
which are composed of lymphoid origin
- ALL- CLL
median survival of stage 1
- 8 years
AML arising from history of MDS or myeloproliferative disorder (good/bad)
- bad
lymphoblastic lymphoma affects which population
- children
gender most impacted by multiple myeloma
- males
most non-hodgkin lymphoma is what type of cell
- B cells
forward scatter in flow cytometry separates based on
- size
steps of multiple myeloma
- MGUS -> smoldering -> myeloma
findings associated with abnormal immunoglobulins and other factors secreted by malignant plasma cells
- renal disease - rouleaux- amyloid- hyperviscosity- cryoglobulins- coagulation abnormalities CCRRAH
what are myeloma defining events
- hypercalcemia- renal disease- anemia- bone diseaseCRAB
non-hodgkin lymphoma risk factors
- age
- infections
- immune disorders
- toxins
median survival of stage 3
- 3 years
treatment for AML
- 7 days cytarabine- 3 days daunorubicin, idarubicin
age most impacted by multiple myeloma
- 65-70