Introduction to Hematologic Malignancies Flashcards
What is a disease of myeloid cells or precursors that is a solid mass?
extramedullary myeloid tumor aka granulocytic sarcoma
Which viruses are known to play a role in lymphoma genesis?
- Epstein-Barr 2. human T cell leukemia virus-1 3. Kaposi sarcoma herpesvirus/human herpesvirus-8
What is grade?
the aggressiveness; rate of growth
Hematologic malignancies are divided into ____ or ____, where acute is used to describe the former and chronic for the latter.
high grade; low grade
Human T cell leukemia virus-1 (HTLV-1) can cause ____.
adult T cell leukemia/lymphoma (ATLL)
A _____ presents as a rapidly enlarging mass.
high grade lymphoma
_____ arise from B cell, T cell, or NK cell lineages.
Lymphoid malignancies
Kaposi sarcoma herpesvirus/human herpesvirus-8 can cause _____.
primary effusion lymphomas
_____ arise from granulocytic, monocytic, erythroid, megakaryocytic, and mast cell lineages.
Myeloid malignancies
Myeloid malignancies arise from ____, _____, _____, ____, and _____ lineages.
granulocytic, monocytic, erythroid, megakaryocytic, mast cell
What is mantle cell lymphoma?
lymphoma defined by t(11;14) involving IGH and CCND1 genes
What is CHL?
classical Hodgkin lymphoma; derived from B-cells, driven by Hodgkin-Reed-Sternberg (HRS) cells
extramedullary myeloid tumor
myeloid cells or precursors; solid mass
____ can cause primary effusion lymphomas.
Kaposi sarcoma herpesvirus/human herpesvirus-8
Hematologic malignancies are divided into high grade or low grade, where ____ is used to describe the former and ____ for the latter.
acute; chronic
another name for extramedullary myeloid tumor?
granulocytic sarcoma
____ has been known to cause classical Hodgkin lymphoma, some cases of Burkitt lymphoma, and some B-cell non-Hodgkin lymphoma.
Epstein-Barr virus
Epstein-Barr virus has been known to cause ____, ____, and _____.
classical Hodgkin lymphoma, some cases of Burkitt lymphoma, and some B-cell non-Hodgkin lymphoma
What is plasma cell neoplasm?
includes MGUS, plasmacytoma, and multiple myeloma
How is a low grade leukemia detected?
incidentally via CBC
How are acute leukemias evaluated?
- morphology 2. immunophenotyping (flow cytometry and immunohistochemistry)
A _____ presents as a very high WBC.
high grade/acute leukemia
Acute leukemias are due to?
rapid accumulation of (usually) immature cells in the marrow
lymphoma
lymphocytes or precursors; solid mass
What is NHL?
non-Hodgkin lymphoma; any malignancy derived from B cells, T cells, or NK cells
What are MPNs?
myeloproliferative neoplasms; bone marrow makes too many normal cells
What are the 1st and 3rd most common childhood cancers, respectively?
leukemia; lymphoma
granulocytic sarcoma
myeloid cells or precursors; solid mass
What is a precursor to AML?
myelodyplastic syndrome (MDS); sometimes myeloproliferative neoplasms (MPNs)
A _____ presents as a mildly enlarged neck lymph node that has been present for years.
low grade lymphoma
What is the difference between CLL and SLL?
whether it’s in the bone marrow (CLL) or a solid mass in the lymph nodes (SLL)
The majority of hematologic malignancies are due to _____, most commonly ______.
a chromosomal abnormality; translocations
What is a disease of lymphocytes or precursors that is a solid mass?
lymphoma
What is MDS?
myelodysplasic syndrome; neoplastic hematopoietic stem cells take over the marrow so it cannot produce normal blood cells
_____ is the 10th most frequent cancer in the US for all ages.
Leukemia
Leukemia
blood and marrow
_____, _____, and _____ increase one’s risk of leukemia/lymphoma.
Inherited immunodeficiencies; inherited conditions of genomic instability; radiation exposure
Lymphoid malignancies arise from ____, ____, and ____ lineages.
B cell, T cell, NK cell
When do translocations occur?
immunoglobulin/T-cell receptor rearrangement; class recombination and somatic hypermutation
_____ are frequently seen in both ____ and _____.
lymphomas; myeloid neoplasms
What is a disease of blood and marrow called?
leukemia
______ can cause adult T cell leukemia/lymphoma (ATLL).
Human T cell leukemia virus-1 (HTLV-1)
_____ is the 7th most frequent cancer in the US for all ages.
non-Hodgkin lymphoma