Malignancy Flashcards
Allogenic bone marrow
Donor
Autologous bone marrow
OWN
Reed Sternberg Cells
Hodgkin’s Lymphoma
Causes Hodgkin’s Lymphoma
malignant cells from B lymphoctyes
Painless, lympadenopathy, fever, night sweats, weight loss
Hodgkin’s Dx
Arises in a single lymph node, spreads in an orderly fashion
Hodgkin’s Dx
Dx for Hodgkin’s Lymphoma
lymph node excisional biopsy
Stage I Hodgkin lymphoma
1 lymph node region involved
Stage II Hodgkin lymphoma
2 or more lymph node regions involved, on one side of the diaphragm
Stage III Hodgkin lymphoma
Lymph node regions involved on both sides of the diaphragm
Stage IV Hodgkin lymphoma
Disseminated disease w/ extranodal involvement
“A” Hodgkin
no constitutional symptoms
“B” Hodgkin
fever, night sweats, weight loss
“X” Hodgkin
bulky disease; Mediastinal involvement
Dx for Non-Hodgkin lymphoma
tissue biopsy
Malignant proliferation of plasma cells originating in the bone marrow
Multiple Myeloma (Plasma Cell Myeloma)
Excess of what immungobulin in multiple myeloma?
IgG; Monoclonal gammopathy
Rouleaux Formation
Multiple myeloma
Bence jones protein
Multiple myeloma
Hypercalcemia
Multiple myeloma
Monoclonal protein (M-protein) on SPEP and/or UPEP
Multiple Myeloma
Lytic lesions
Multiple Myeloma
Asymptomatic pt w/ hypercalcemia, increase serum protein and anemia
Multiple myeloma
Txt for multiple myeloma
biologic agents (Lenalidomide, Bortezomib) and Dexamethasone
Most common childhood malignancy
Acute lymphoblastic leukemia
Philadephia Chromosome
Acute lymphoblastic leukemia
What are lymphoblasts in “ALL” described as?
TdT postiive
Negative for peroxidase and Sudan black histochemical stains
Auer rods
Acute Myeloid Leukemia
How do myeloblasts look in AML?
positive for peroxidase and sudan black histochemical stains
Most common form of leukemia in adults in the US
Chronic lymphocytic leukemia (CLL)
Proliferation of mature appearing lymphocytes in peripheral blood that invade bone marrow, spleen, and lymph nodes
chronic lymphoctyic leukemia
Hallmark is Lymphocytosis
Chronic Lymphocytic Leukemia (CLL)
Smudge cells present
Chronic lymphocytic leukemia
Elevated WBC >150,000
CML
Hallmark bcr/abl gene is detected by PCR test in peripheral blood or bone marrow biospy
Chronic Myeloid Leukemia
Txt of choice for CML?
Imatnib mesylate (tyrosine kinase inhibitor)