Lymphoid Disorders Flashcards
What is leukamia?
A cancer of the blood
What is lymphoma?
Cancer of lymphoid origin
How is leukaemia or lymphoma diagnosed?
Via bone marrow or lymph node biopsy Each type is defined by malignant cell characteristics
Give examples of high grade Non-Hodgkin Lymphoma
Diffuse large B-Cell lymphoma
Give examples of low grade Non-Hodgkin Lymphoma
Follicular lymphoma Marginal zone lymphoma
What is acute lymphoblastic leukaemia ?
Cancer of lymphoid progenitor cell where the cells don’t differentiate but divide rapidly and accumulate
What will the investigations show in ALL?
Hb = 38g/l WCC = 370 x 10^9/L Platelets = 68x10^9/L Bone marrow will be ~ 90% B-lymphoblasts
What are the characteristics of ALL cells?
Large cells which express CD19
What are the consequences cytokine release syndrome?
Fever, hypotension, dyspnoea, dyspnoea
What are the consequences of T-Cell immunotherapy mediated neurotoxicity?
Confusion with normal conscious level
What is the typical presentation?
Bone marrow failure +/- raised white cell count Bone pain, infection, sweats
What is the requirement for a CLL diagnosis?
A lymphocyte count of >5 where the abnormal cells are mature and slow growing
What are the associated findings of CLL?
Immune paresis Haemolytic anaemia
What are the indications for treatment in CLL?
Progressive bone marrow failure Massive lymphadenopathy Progressive splenomegaly Lymphocyte doubling time <6 months or >50% increase over 2 months Systemic symptoms Autoimmune cytopenias
How does lymphoma present?
lymphadenopathy/ hepatosplenomegaly Extranodal disease “B symptoms” - fever, night sweats, weight loss bone marrow involvement