leukmias Flashcards
RAI staging system is for what?
cll
fab is for
AML
but also ALL
AUR RODS
found in AML specifally M3 variant
which types of leukemias more likley to lead to BM failure
ACUTE because grow rapidly
which leukemia has low ALP
CML
richters tranformation
is from CLL- devops into a rare b cell lymphoma which is b cell usually
definitve tx for leukmemias
allogenic stem cell
whats the M3 variant called
ACUTE PROMYLOCYTIC LEUKMEIA
what are smudge cells
found in CLL
mature lymphocytes that rupture easily
what is rai
stage 1
staging for CLL
looks at lymphadenpathy, anemia, PLT, lymphocyte count, liver and spleen involevemt
4 stages
- just lymphocytosis
stage 2 rai
lymphocytosis and lympahdenppathy
stage 3
lymphocytosis
lymphadenopathy +-
enlarged spleen OR liver (but most likely is spleen)
stage 4
thrombocytopenia
anemia
ALL signs in kids
easy brusising
meningism
testicular enlargement
thymic infiltration - do ct thorax
hepatomspleonmegaly
pale - anemic
epistaxis
bone pain
classification of ALL
l1- smallest
l2
l3- looks similar to burkitts lymphoma
what’s the most common sign of ALL
lymphadenopathy
tumour lysis syndrome
hyperkalemia
hyperuricemia
hyperphospahtemia
hyper ldh
why could you possibly see superior vena cava syndrome ?
in ALL, as if can infiltratek the thymus which is in the mediastinum so can compress nearby mediastinal structures
unusual presnetaton of hodgkin soemtimes
itchy skin
TKI used in
CML
tki GENERATIONS - NB
- imatinib
- nilotinib + dasatinib
3.bosutinib
7+3 used in
AML except M3 vairant
transolactions for AML
M2- 8,21
M3- 15,17
why does hodgkins cause itching
- release of pro inflammatory cytokines and histamine like substances
- eosiniphila linked with histamin