Hematology Week 2: Neoplastic Hematology Flashcards
Heme Neoplasms polyclonal vs clonal
heme neoplasms are clonal - all derived from the same transformed cell

heme neoplasms cell stage

- immature heme neoplasm
- mature heme neoplasm

how do heme neoplasms look?

main categories of heme neoplasms

Leukemia definition
A heme neoplasm with mainly WBC proliferation that predominantly involves the blood and the bone marrow
Normally these cells travel to bone marrow to blood to the lymph node, however, heme neoplasms can also move but where most of the cells are found is what they are called

Lymphoma Definition
Heme Neoplasm of lymphoid cells that predominantly involves the lymph node and tissue
Normally these cells travel to bone marrow to blood to the lymph node, however, heme neoplasms can also move but where most of the cells are found is what they are called

Heme Neoplasm Maturation Sequence
myeloid lineage
and
lymphoid lineage

Heme neoplasm lineage and location nomenclature

Question 1


Acute vs Chronic Leukemia

Acute Leukemias maturity and cell type
Immature cells (blasts) predominate
Acute Leukemias immaturity is caused by?
Maturation failure, acquired genetic alterations that inhibit their maturation
Acute Leukemias Threat and treatment
- Aggressive
- require potent curative intent therapy including HSCT
Chronic Leukemias maturity
Mature cells predominate
Chronic Leukemias Maturation
- Maturation is intact
- although they are neoplastic the clonal cells can still differentiate
- Acquired genetic alterations but maturation ability is intact
Chronic Leukemias Threat and Treatment
- More indolent
- therapy is not usually curative in intent
Big 4 Leukemias

Immature Myeloid =
Acute Myeloid Leukemia (AML)
Mature Myeloid =
Chronic Myeloid Leukemia (CML)
Mature Lymphoid =
Chronic Lymphocytic Leukemia (CLL)
Immature Lymphoid =
Acute Lymphoblastic Leukemia (ALL)
Blast Cell Characteristics
4 listed
- Large cell size
- Powdery chromatin
- high Nucleus:Cytoplasmic ratio
- Prominent nucleoli

Identify Blasts

Immature stage is characterized by/

Question 2

CML
Question 3

ALL
Question 4

Blasts are proliferating and making up all these cells
Clinical Features and Lab Features of Leukemia

Lymphoma Hodgkin and non-Hodgkin lymphomas Classification

Hodgkin Lymphoma vs Non-Hodgkin Lymphoma

Hodgkin Lymphoma Lymph node involvement
more often localized to a single central group of lymph nodes
Hodgkin Lymphoma Cells
- Reed-Sternberg Cells
- Neoplastic cells are rare (surrounded by benign inflammatory cells
Non-Hodgkin Lymphoma Lymph node involvement
Widespread involvement of multiple peripheral lymph nodes
Non-Hodgkin Lymphoma Cells
- No Reed-Sternberg cells
- Neoplastic cells predominate
Reed-Sternberg Cell

B and T cell Maturation & Non-Hodgkin Lymphoma nomenclature

Key Clinical Features of Lymphoma
6 Listed

Myelodysplastic Syndrome
is a group of clonal hematopoietic Stem cell neoplasms characterized by ineffective hematopoiesis

Myeloproliferative Neoplasms
are a group of clonal hematopoietic stem cell neoplasms characterized by effective hematopoiesis

MDS vs MPN

Myeloproliferative neoplasms usually caused by?
Tyrosine Kinase Mutations
Benign vs Malignant

Indolent to Aggressive because Benign and Malignant doesn’t really work for hematologic Neoplasms

Survival Curves
