Leukaemia Flashcards

0
Q

leading cancer for age 15-24

A

lymphoma

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1
Q

Leading Cancer for 0-14 year olds?

A

Leukaemia

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2
Q

Most patients cause of leukaemia?

A

unknown

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3
Q

Leukaemia usually starts with which cells?

A

pluripotent progenitor cells

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4
Q

Leukaemia mutations generally from?

A

chromosomal translocation

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5
Q

fusion genes do what?

A

disrupts normal cells and predisposes to malignant transformation

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6
Q

Acute Leukaemia what kind of cells? clinical course?

A

immature cells, rapid clinical course

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7
Q

chronic Leukaemia cell type? clinical course?

A

maturer white cells, gradual course, treatment optional

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8
Q

how would acute Leukaemia kill you

A

block out capillaries and oxygenation

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9
Q

2 kinds of Leukaemia

A

lymphoblastic - T and B-cells

myeloblastic - RBCs, platelets, mono, granulocytes

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10
Q

what is thrombocytopenic pupura?

A

burst capillaries due decreased platelets

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11
Q

Chronic lymphocytic leukaemia cells looks like on slide?

A

mature, increased numbers, smear cells

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12
Q

flow cytometry used for?

A

dx markers on lymphocytes to characterize the disease

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13
Q

Chronic lymphocytic leukaemia, you don’t see on slide 2 things:

A
  1. granules

2. Auer Rods

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14
Q

Acute lymphocytic leukaemia you see on slide? 3 things

A
  1. blastic cells
  2. granules
  3. Auer Rods
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15
Q

Hairy Cell leukaemia is acute or chronic?

A

chronic, good Rx

16
Q

Chronic myeloblastic leukaemia see what kind of shift?

A

left shift

17
Q

acute myeloblastic leukaemia see what in the cell?

A

+++ Auer Rods

18
Q

chromosome 15-17 translocation of which 2 regions?

A

RAR-Alpha and PNL fusion

19
Q

Philedelphia chromosome which translocation?

A

9 and 22

20
Q

what is imatinib? does what?

A

monoclonal antibody

inhibits the BCR-ABL to induce apoptosis, inhibit proliferation

21
Q

All Gene fusions cause problems? what are the classes?

A
  1. Driver mutations
  2. passenger mutations
  3. which are pathogenic?
22
Q

Acute Myeloid leukaemia genomic and epigenomics contribution?

A

complex interplay

23
Q

CLL pro-survival protein is?

A

BCL-2

24
Q

what is ABT-199?

A

selective BCL-2 inhibitor for CLL

25
Q

when mainly observe patient?

A

CLL

26
Q

transplantation for leukaemia first line?

A

autologous then allograft if necessary

27
Q

3 sources of autologous transplantation for leukaemia?

A
  1. peripheral blood
  2. bone marrow
  3. cord blood
28
Q
Survival of leukaemias?
Childhood ALL:
Adult AML/ALL:
CML:
CLL:
A

Childhood ALL: 80%
Adult AML/ALL: 20-40%
CML: 80-90%
CLL: 5-10 year