LEUKEMIA Flashcards
Lymphocytic Leukemias are generally: Myeloperoxidase and Sudan Black B
Negative
Most common form of childhood leukemia
Acute Lymphocytic Leukemia
70% of childhood ALL
L1
Immunologic markers of L1:
CALLA (CD10)
TdT
CD19 AND CD20
(+) in PERIODIC ACID-SCHIFF and OIL RED O but (-) in Methylene green pyronine
L1
70% of adult ALL
L2
Immunologic marker of L2
TdT
(+) in PERIODIC ACID-SCHIFF AND OIL RED O but (-) in Methylene Pyronine
L2
Also known as Burkitt-type of Leukemia and it is rare in children and adult
L3
(+) in Methylene Green Pyronine and Oild Red O but (-) Periodic acid-schiff
L3
Characterize by persisten lymphocytosis and the presence of increased number of smudge cells and rieder cells in the PBS
Chronic Lymphocytic Leukemia
Most common type of leukemia in the elderly
Chronic lymphocytic leukemia
AML subgroup originates in myelocytic characterized by MPO and SBB negative
M0
AML without maturation, may demk auer rods
M1
AML with maturation, most common subtype of AML, may also demo auer rods
M2
Associated with DIC and presence of faggot cell also called Acute Promyelocytic Leulemia (APL)
M3
Aka Naegeli monocytic leukemia and Acute Myelomonocytic Leukemia, 2nd most subtype of AML
M4
Acute Monocytic Leukemia (AMoL) aka schilling leukemia
M5
AMoL poorly diff. Seen in children and 80% monoblasts in BM
M5a
AMoL well diff. Seen in middle-aged adults, < 80 % monoblasts in BM
M5b
Acute Erythroleukemia aka Diguglieimo’s syndrom. Associated with macrocytic, normochromic and (+) PASS
M6
Acute Megakaryocytic Leukemia that requires immunocytochemistry, (+) in factor VIII stain
M7
AMML with increased marrow eosinophils
M4E
AML subgroups that originates in myelocytic
M0, M1, M2, M3,
AML subgroup that originates in both myelocytic and monocytic
M4
AML subgroup that originates in monocytic
M5
AML subgroup that originates in megakaryocytic
M7
AML subgroup that originates in both erythrocytic and myelocytic
M6
AML subgroups positive in MPO, SBB AND SE
M1, M2, M3 and M4
AML subgroup both positive in NSE (BUTYRATE), NSE (ACETATE)
M5
Factor stain VIII positive
M7
Characterized by the presence of philadelphia chromosome. Chromosome #22
Chronic myelogenous leukemia (CML) AKA chronic granulocytic leukemia
Excessive leukocytic response in the peripheral blood
Leumoid Reaction
Used to distinguised LR from CML
Leukocyte (Neutrophil) Alkaline Phosphate (LAP/NAP)
Normal Kaplow’s (LAP) score
15 to 100
Within normal or increased LAP score
LR
Decreased LAP score
CML