Leukemia Flashcards
Causes of leukemia
Epidemiology
Viruses
Genetics
Radiation
Classification of leukemia
Accdg to duration of dse Accdg to no of wbc Accdg to wbc specific type Accdg to age Fab classification
Survival rate of the patient
Accdg to duration of dse
High percentage of young forms or blast cells
Acute leukemia
Survival rate of acyte leukemia
Days to 6 months
Acute leukemia is characterized by the ff
Sudden onset of dse Rapidly developing anemia High fever Thrombocytopenia Hemorrhages
Characterized by the presence of slightly differentiated cells
Subacute leukemia
Survival rate of subacute leukemia
6-1yr
Characterized bu predominance of old forms
Chronic leukemia
Fatal systemic dse characterized by an excessive proloferation of wbc producing cells such that cell show a different degree of immaturity so therefore this is considered malignant growth of cells
Leukemia
Survival rate of chronic leukemia
1yr to several years
Chronic leukemia is characterized by what
Gradual onset
General body weakness
East fatigability
Bones that is tender to pressure due to leukemic reaction
What are accdg to wbc specific type
Acute monocyticleukemia and chronic monocyticleukemia
Predominance of monocytic myeloblast
Acute monocyticleukemia
Predominance of pld and mature monocyte
Chronic monocytic leukemia
Chronic monocytic leukemia categorized as
Nageli and schillings
Resembles granulocytic leukemia due to the presence of myeloid cells
Naegli type monocytic leukemia or M4
True monocyticleukemia
Schillings type
Accdg to number of wbc
Leukemic leukemia
Subleukemic leukemia
Aleukemic leukemia
Predominance of blast cells wbc ct of more than 15,000mm3
Leukemic leukemia
Predominance of the old form dec 15,000mm3
Aleukemic leukemia
Slightly differentiated cells dec wbc ct 15,000mm3
Subleukemic leukemia
Predominance of eos, baso, and neutrophil. Characterized by presence of philadelphia chromosome 22
Chronic myelocytic leukemia
Predominance of young forms rbc
Erythremicmyelosis di gugliemos disease
Combination of blast cell of the rbc and the wbc
Erythroleukemia di guglielmo’s syndrome
Predominace of blast cells
Blast cell leukemia or stem cell leukemia
Predominance of young lymphocytes
Acute lymphocytic leukemia
Predominance of old and mature lymphocyte
Chronic lymphocytic leukemia
Predominated pf progranulocyte
Pro granulocytic leukemia
Predominance of neutrophilic myelocyte
Neutrophilic leukemia
Predominance od eosinophilic myelocyte
Eosinophilic leukemia
Predominance of basophilic myelocyte
Basophilic leukemia
Predominance in a dse called myeloma,ntumor involving bone marrow and other organ
Plasmacytic leukemia
Predominance of plasma cell but this leukemia found in the terminal stage of muktiple myeloma
Plasma cell leukemia
Rarest form of leukemia, said to be tissue basophil
Mast cell leukemia
What are accdg to age
Acute leukemia
Chronic lymphocytic leukemia
Chronic granulocytic
20-50yp
Chronic granulocytic
Less than 20 yo
Acute leukemia
More than 50 yo
Chronic lymphocytic leukemia
It divudes acute leukemias into lymphoblastic and monoblastic
fab classification
Two main groups are subdivided accd to cellular morphology, cytochemical staining results, cytogenetic studies T and B lymohocye marker result
Fab classificiation
Childhoold ALL. Lymphoblast are small and homogenous with a very high nucleus and cytoplasm ratio
L1 classification
Adult ALL lymphoblast are larger and has a variable size nucleus is clefted and will observed with presence of nucleoli
L2 classification
Least case among three ALL, Accounts 2% in all cases
L3
Acute myeloblastic leukemia
M1,M2
Acute megakryocytic leukemia
M7
Acute myelomonocyctic leukemia
M4
Acute monocytic leukemia
M5
Acute promyelocytic leukemia
M3
Acute myeloblastic leukemia without maturation
M1
Acute promyelocyticleukemia
M3
Acute myeloblastic leukemia with maturation
M2
Acute monoblastic leukemia without maturation
M5a
Acute myelomonocytic leukemia
M4
Di guglielmos syndrome erythroleukemia, erythremicmyelosis
M6
Acute monoblastic leukemia with maturation
M5b
Acute megakaryocytic leukemia
M7
Undifferentiated blast no maturation
Mo minimally differentiated
Scanty cytoplasm
M1 aml without maturation
Myeloid phenotype of m1
Cd13,33,117
Myeloid phenotype of m2
Cd13,33
Kidney shape nucleus
M2 aml with maturation
Promyelocyte predominant
M3 hypergranular promyelocyte
Negative auer rods and esterase
Mo minimally differentiated
Myeloid ohenotype of mo
Cd13,33,34
Arge cell round nucleus
M1 aml without maturation
Common type
M2 aml woth maturation
High serum lysozyme level
M4 acute myelomonocytic
High incidence of DIC
M3 hypergranular promyelocyte
Acute myeloid leukemia with very abnormal cell
M3 hypergranular promyelocyte
Myeloid phenotype of m3
Cd13,33
Eosinophilic granules
M2 aml with maturation
> 3% pos mpo and sbb
M1 aml wo maturation
Positive for auer rods
M2 aml with maturation
More than 50% pos mpo and sbb
M2 aml with maturation
Basophilic bilobed nuclei
M3 hypergranular promyelocyte
Pos for auer rods or faggot cells
M3 hypergranular promyelocyte
Large kidney shape
M3 hypergranular promyelocyte
Monoblast few promonocyte
M5a without maturation
Myeloid ohenotype of m4
Cd 11,13,14,33
Positive in common auer rods
M4 acute myelomonocytic
Blast, promonocyte bone marrow and monocyte in blood
M5b with maturation
Monocyte ameloid with round to oval nuclei
M5a
Prominent nuclei
M5a
Large bizarre round to oval cells
M6 erythroleukemia
Dec in 20% promonocyte and monocyte
M5a
Promonocyte, foldedm convoluted nucleus
M5b
Inc in 20% monocyte
M5b
Pos in PAS
M6 erythroleukemia
Posituve in nucleoli
M6 erythroleukemia
Myeloid phenotype of glycophorin A in m6
Cd45,71
Myeloid phenotype myeloblast in m6
Cd 13,15,33
More than 50% erythroblast
M6
More than 30% myeloblast
M6
More than 30% megakaryoblast
M7 acute megakaryoblastic
Platelet like granules in Pas stain
M7 acute megakaryoblastic
Myeloid blast may show sbb or mpo pos
M7 acute megakartyoblastic
Myeloid phenotype of m7
Cd41,42,61
More than 30% myeloblast
M0
More than 30% of myeloblast 20% granulocyte ahd 20% promonocyte abd monocyte
M4
More than 30% myeloblast 10% granulocyte
M2 aml with maturation