Miscellaneous 2 Flashcards
Del 5q- prognostic significance in MDS
low risk
Del 7q- prognostic significance in MDS
adverse
Trisomy 8 prognostic significance in MDS
Intermediate risk
del20q- prognostic significance in MDS
adverse
What is G4 CRS?
multiple pressors and/or positive pressure ventilation
Management of G4 CRS
Toci + solumedrol 1 g/day
(solumedrol instead of dex)
Management of severe CRS per boards
- toci + steroids concurrently (dex for G3, solumedrol for G4)
What does POEMS stand for
Polyneuropathy
Organomegaly
Endocrinopathy
Monoclonal (M) protein spike
Skin changes
Transplant criteria for AL amyloidosis
-Transplant eligible = 1) Age <70
* 2) SBP >90
- 3) NYHA <3
- 4) No more than 2 organs involved (liver, heart, kidney, or autonomic nerve)
- 5) Troponin T level <0.06 (high sensitivity troponin T <75 ng/ml)
- 6) NTproBNP <5 ng/L
- 7) ECOG 0-1
- 8) CrCl ?30 mL/minute
of cycles of induction for transplant eligible myeloma pts
4 (can give a couple more if they don’t have VGPR but answer choice will state 4)
Firstline for Castleman’s
Siltuximab
posaconazole issue w/ HMA+venetoclax
- can increase serum concentration of venetoclax through CYP3A4 inhibition so need to dose reduce venetoclax if using
Management of AML patient in CR1 after induction who’s transplant ineligible after induction
maintenance with PO azacitadine
Induction for AML with myelodysplasia-related changes
Induction:
Liposomal cytarabine and daunorubicin (vyxeos)
Brentuximab mechanism
Targets CD30
Management of T-Dxd with ILD - continue vs. hold
G1:
steroids
hold until resolved to G0
continuation:
If resolved in 28 days or less, maintain dose
If resolved in greater than 28 days, dose reduce
If >G2, permanent discontinuation
Grade I ILD w/ T-Dxd
Asymptomatic
Most common CHIP mutations
DNMT3A, TET2, ASXL1
What defines CCUS?
1) Idiopathic, clinically meaningful cytopenia
2) >2 percent variant allele frequency (VAF) of a leukemia-associated gene
3) No other evidence of a hematologic malignancy
Lowest and highest risk serologic status for CMV transmission in transplant
- highest = Donor+, recipient-
- lowest = Donor-, recipient-
Grading of NET’s
G1 = <3
intermediate = 3-20
high = >20
Translocation that can be seen in DLBCL
- t(14;18)
What is T4 disease in CRC
- invasion of visceral peritoneum or invasion/adherence to adjacent organs/structures
What is high risk for stage III CRC?
T4 or N2