INTRODUCTION TO HEMATOLOGIC MALIGNANCIES Flashcards
A disease, usually
of leukocytes, in the blood and
bone marrow
LEUKEMIA
Leukemia is a disease usually of WHAT?
Leukocytes
Leukemia is a disease, usually
of leukocytes, located where?
in the blood and
bone marrow
What are the 2 Forms of Leukemia?
- Acute leukemia
- Chronic Leukemia
short duration
acute leukemia or chronic leukemia
acute leukemia
long duration
acute leukemia or chronic leukemia
Chronic leukemia
Many immature cell forms in
the bone marrow and/or
peripheral blood
acute or chronic leukemia
Acute leukemia
Mostly mature cell forms in the
bone marrow and/or peripheral
blood
Acute or chronic leukemia
Chronic leukemia
Elevated total leukocyte count
Acute or chronic leukemia
acute leukemia
Total leukocyte counts that
range from extremely elevated
to lower than normal
Acute or chronic leukemia
Chronic leukemia
is a general term
for malignancy that starts in the
lymph system, mainly in the
lymph nodes.
Lymphomas
Lymphomas is a general term
for malignancy that starts where?
lymph system, mainly in the
lymph nodes.
What are the 2 Types of Lymphomas?
- Hodgkin Lymphoma
- Non-Hodgkin Lymphoma
Proliferation of malignant
lymphocytes
Hodgkin or Non-Hodgkin Lymphoma
Hodgkin Lymphoma
Proliferation of malignant
lymphocytes
Hodgkin or Non-Hodgkin Lymphoma
Hodgkin Lymphoma
have a
basophilic vacuolated cytoplasm
with starry sky pattern
Hodgkin or Non Hodgkin
Hodgkin
basophilic vacuolated cytoplasm
with starry sky pattern is due to what?
due to numerous tangible body
MACROPHAGE that are arrested at
certain stages of maturation
What is the hallmark of Hodgkin Lymphoma?
presence of Reed-Sternberg cell
Reed-Sternberg cell resembles what appearance?
owl’s eye appearance
These are large binucleated or
multinucleated cell resembles owl’s
eye appearance with each nucleus
bearing a very large nucleolus.
Reed-Sternberg cell
Presence of Reed-Sternerg cells
Hodgkin or Non Hodgkin
Hodgkin
Diffuse large B-cell lymphoma
Hodgkin or Non Hodgkin
Non Hodgkin
Reed-Sternberg is absent
Hodgkin or Non Hodgkin
Non Hodgkin
mixed population of
lymphocytes, histiocytes,
eosinophils and some plasma
cells are present
Hodgkin or Non Hodgkin
Non Hodgkin
In Non Hodgkin Lymphoma, mixed population of what cells are present?
HELP
- Histiocytes
- Eosinophils
- Lymphocytes
- Plasma cells
a form of cancer
of the plasma cells.
Myelomas
In myeloma, cells shrink
True or False
In myeloma, cells overgrows
FALSE
The mass or tumor in myelomas is located where?
Bone marrow
This is the form of cancer wherein the cells overgrows,
forming a mass or tumor that is
located in the bone marrow
Myelomas
Overproduction of
various types of immature
or mature leukocytes in
the bone marrow and/or
peripheral blood, in most
types of leukemias
Leukemia
Solid malignant tumors of
the lymph nodes
Lymphoma
Overproduction of plasma
cells in the bone marrow
with concurrent
production of abnormal
proteins
Myeloma
Cell Type: Plasma cells
Myeloma
Cell type: Lymphocyte is the
distinctive
cell type. Reed-Sternberg
cells are diagnostic for this.
Lymphoma
Cell type: Usually involves
leukocytes of the
myelogenous or
lymphocytic cell types
Leukemia
Site of malignant cells: Malignant cells are
initially confined to the
organs containing
mononuclear phagocyte
cells such as the
lymph nodes, spleen,
liver, and bone marrow.
Lymphomas
What are the organs containing
mononuclear phagocyte
cells?
- Lymph nodes
- Spleen
- Liver
- Bone marrow
Site of malignant cells: Malignant cells freely
trespass the blood brain
barrier
Leukemia
Site of malignant cells: Plasma cells form a mass
or tumor that is located in
the bone marrow.
Myeloma
Where is the site of malignant cells in Myelomas?
Bone marrow
Where is the site of malignant cells in Lymphomas?
confined to the organs containing mononuclear phagocyte cells such as the lymph nodes, spleen,
liver, and bone marrow.
Where is the site of malignant cells in Leukemia?
freely trespass the blood brain
barrier
Lymphomas can spill over into the circulating blood and present a leukemic appearing picture on a
peripheral blood smear
True or False
TRUE
French-American-British (FAB) Classification
What are the 3 broad Leukocyte groups?
LMM
- Myelogenous
- Monocytic
- Lymphocytic
Major types of leukocytic leukemias can be classified as what?
- Acute
- Chronic
Major types of leukocytic leukemias can be classified as acute or
chronic according to the leukocyte groups. Give 4 examples of these.
- Acute or chronic Myelogenous
- Acute or chronic monocytic
- Acute or chronic Myelomonocytic
- Acute or chronic Lymphocytic Leukemia (CLL)
The World Health Organization (WHO)
Classification is based on these 3 aspects?
BIG
- Based on MORPHOLOGY
- Immunophenotyping
- Genetic studies
According to the World Health Organization (WHO)
Classification, morphology information is combined with what?
- Immunophenotyping
- Genetic studies
Immunophenotyping and Genetic studies are done on what samples?
- peripheral blood
- Bone marrow
- Lymph nodes
This leukemia must be distinguished from
acute lymphoblastic leukemia (ALL), myelodysplastic
syndrome (MDS), or AML arising in the presence of MDS
Acute Myeloid Leukemia (AML)
Acute myeloid leukemia (AML) must be distinguished from WHAT 3 LEUKEMIAS?
- Acute LymphoBLASTIC leukemia (ALL)
- Acute MYELODYSPLASTIC syndrome (AMS)
- AML arising in the presence of MDS
Why must Acute myeloid leukemia (AML) must be distinguished from
acute lymphoblastic leukemia (ALL), myelodysplastic
syndrome (MDS), or AML arising in the presence of MDS?
because therapeutic strategies and the prognosis vary
This leukemia is characterized by the presence of blasts
and immature leukocytes in the peripheral blood and bone
marrow
Acute Leukemia
Acute leukemias are characterized by the presence of what?
presence of blasts
and immature leukocytes
Anemia is present in acute leukemia?
True or False
TRUE
What are the 2 reasons why anemia is present in Acute Leukemia?
- caused by bleeding
- the replacement of normal marrow
elements by leukemic blasts.
What type of leukemia has a total leukocyte count that is usually elevated, some patients
may demonstrate normal or decreased leukocyte count.
Acute or chronic
Acute leukemia
What are the 2 synonyms for AML?
- Acute Myelogenous Leukemia
- Acute Non Lymphocytic Leukemia (ANLL)
This type of leukemia remains a lethal disorder, which kills the majority of
afflicted adults
AML/ANLL
Acute Leukemia is divided into 2 Major Division. What are these?
- Acute Myeloid Leukemia (AML)
- Acute Lymphoid Leukemia (ALL)
Acute Lymphoid Leukemia is subdivided into 3 categories. What are those?
- L1
- L2
- L3
L for Lymphoid
Acute Lymphoid Leukemia is subdivided into 3 categories. What are those?
- L1
- L2
- L3
L for LympoBLASTIC
Acute Myeloid Leukemia is subdivided into 7 categories. What are those?
- M1
- M2
- M3
- M4
- M5
- M6
- M7
M for Myeloid
The WHO’s classification of AML is based on what?
McCyto GenIm
- Morphology
- Clinical features
- Cytochemistry
- Genetics
- Immunophenotype
This is the most common leukemia subtype
Acute Myeloid Leukemia (AML)
This leukemia is recognized as a heterogenous clonal disorder
Acute Myeloid Leukemia (AML)
Acute Myeloid Leukemia is characterized by what? (2)
- Maturation block
- Accumulation of acquired somatic genetic alterations
In AML, what are the normal mechanisms altered by the accumulation of acquired somatic
genetic alterations in hematopoietic progenitor cells?
- Self-renewal
- Proliferation
- Differentiation
AML according to the FAB classification, M0, M1, and M2 are classified as what?
myeloid
AML according to the FAB classification, M3 is classified as what?
Promyelocytic
AML according to the FAB classification, M4 is classified as what?
Myelomonocytic
AML according to the FAB classification, M5 is classified as what?
Monocytic
AML according to the FAB classification, M6 is classified as what?
Erythroleukemia
AML according to the FAB classification, M7 is classified as what?
Megakaryocytic
Classify the 7 classification of AML according to the FAB classification
- M0 (myeloid)
- M1 (myeloid)
- M2 (myeloid)
- M3 (Promyelocytic)
- M4 (Myelomonocytic)
- M5 (Monocytic)
- M6 (Erythroleukemia)
- M7 (Megakaryocytic)
Under what classification has undifferentiated blasts according to the FAB classification?
M0