Lymphoma/Leukemia Flashcards

1
Q

Hodgkin’s Lymphoma

A
  • reed-sternberg cells (giant cells)
  • no known cause, begins above diaphragm
  • 15 to 35 yrs, > 50 yrs
  • more common in men
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hodgkin’s RF & D

A
  • Epstein-Barr virus
  • genetics
  • toxins
  • hyperplasisa
  • D: presence of Reed-Sternberg Cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hodgkin’s Manifestations

A
  • insidious onset
  • enlargement of cervical, axillary, or inguinal nodes
  • movable, painless, & nontender nodes
  • B symptoms: fever, night sweats, weight loss (worse prognosis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mediastinal Involvement Signs

A
  • cough
  • dyspnea
  • stridor
  • dysphagia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hodgkin’s Advanced Cases

A
  • hepatomegaly
  • splenomegaly
  • anemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hodgkin’s D

A
  • blood analysis
  • biopsy
  • bone marrow exam
  • radiologic evaluation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HL Chemo

A

Favorable early-stage disease, receive 2 to 4 cycles
Unfavorable early stage, receive 4 to 6 cycles
Advanced stage, receive 6 to 8 cycles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

NHL

A
  • affects all ages
  • B & T cell origin
  • unknown cause
  • in those who had chemo/radiation or immunosuppressive drugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NHL Manifestions

A
  • can originate outside nodes
  • painless node enlargement
  • high grade: lymphadenopathy & B symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which lymphoma has worse prognosis?

A

NHL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Leukemia

A

A group of malignant disorders affecting the blood and blood-forming tissues of
Bone marrow
Lymph system
-no single cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Leukemia Acute vs Chronic

A
  • A: Clonal proliferation of immature hematopoietic cells

- C: Mature forms of WBC, and onset is more gradual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

AML

A
  • adults
  • abrupt, dramatic onset: infection or bleeding
  • hyperplasia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ALL

A
  • children
  • B cell
  • fever, bleeding
  • insidious with progressive weakness, pain, bleeding
  • CNS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CML

A
  • bone marrow (move to blood)
  • infiltrate liver/spleen
  • Philadelphia Chromosome
  • chronic stable phase Followed by acute, aggressive (blastic) phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CLL

A
  • B cell
  • node enlargement thru out
  • increased incidence of infection
17
Q

Symptoms of Leukemia

A

Anemia
Neutropenia
Thrombocytopenia

18
Q

Leukemia Diagnostic Studies

A

Diagnose & classify:

  • peripheral blood evaluation
  • bone marrow evaluation
19
Q

4 stage of chemp

A
  • induction
  • intensification
  • consolidation
  • maintenance
20
Q

Induction

A
  • induce remission
  • seek & destroy leukemic cells
  • patients may become critically ill
21
Q

Intensification

A
  • high dose

- after induction

22
Q

Consolidation

A
  • after remission

- eliminate remaining leukemic cells

23
Q

Maintenance

A

-lower dose every 3-4 wks

24
Q

Combo Chemo

A
  • decrease drug resistance and toxicity

- interrupt cell growth

25
Q

Hematopoietic stem cell transplant

A
  • Totally eliminate leukemic cells

- eradicates hematopoietic stem cells (replaced after)