White Blood Cell Pathology 1 Flashcards

1
Q

name the classification system for hematopoietic neoplasm

A

WHO

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2
Q

How does one determine the Immunophenotype of a cell

A

flow cytometry

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3
Q

CD 34

A

immature

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4
Q

CD 13, 33, MPO

A

myeloid

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5
Q

CD19, 20, kappa and lambda light chaines

A

B cell

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6
Q

CD1A, 3, 4, 8, 7, 5

A

T cell

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7
Q

name 6 ways a cell becomes neoplastic

A
  • chromosomal translocation/mutations
  • inherited genetic factors
  • viruses
  • environmental factors
  • iatrogenic factors
  • smoking
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8
Q

Follicular lymphoma

A

t (14;18)

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9
Q

Burkitt lymphoma

A

t(8;14)

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10
Q

mantle cell lymphoma

A

t(11;14)

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11
Q

acute promyelocytic leukemia

A

t ( 15;17)

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12
Q

chronic myelogenous leukemia

A

t (9;22)

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13
Q

what genetic factor increases risk for acute leukemia

A

fanconi anemia

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14
Q

what inherited genetic factors increase risk for childhood leukemia

A

down syndrome

nuerofibromatosis I

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15
Q

name 3 viruses that cause cells to turn neoplastic

A

HTLV-1
HHV-8
EBV

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16
Q

HTLV-1 associated with what

A

Adult T cell leukemia/lymphoma (ATLL)

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17
Q

HHV8 associated with what

A

pleural effusion lymphoma

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18
Q

what is adult T cell leukemia/lymphoma (ATLL)

A

neoplastic proliferation of mature CD4 T cells

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19
Q

what race is Adult T cell leukemia/lymphoma seen in

A

Japan and Caribbean

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20
Q

what are clinical features for adult T cell leukemia/lymphoma

A
  1. rash (skin infiltration)
  2. lymphadenopathy/hepatosplenomegaly
  3. lytic (punched-out) bone lesions with hypercalcemia
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21
Q

EBV is seen with what diseases

A

Burkitt lymphoma
hodgkin lymphoma ( some)
Immunodeficiency associated B cell lymphoma
rare NK cell lymphomas

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22
Q

smoking increases the chances of what

A

acute myeloid leukemia

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23
Q

H. pylori can cause

A

MALT lymphomas of stomach

24
Q

Hashimoto’s thyroiditis

A

MALT lymphoma of thyroid

25
Celiac disease
intestinal t cell lymphoma
26
lymphadenopathy
lymph node enlargement ( tender or non-tender)
27
lymphadenitis
lymph node inflammation ( typically tender)
28
what are 3 autoimmune disorders that cause lymphadenopathy
- Sjogren syndrome - Rheumatoid arthritis - System Lupus erythematosus
29
what are some infections that cuase lymphadenopathy
viral bacterial protozoal ( toxoplasmosis) fungal ( histoplasmosis)
30
what are iatrogenic causes of lymphadenopathy
silicone
31
Follicular hyperplasia stimulates what cells
B cells
32
where does follicular hyperplasia occur
- germinal centers | - mantle zone
33
what are some eitologies for follicular hyperplasia
Bacterial, toxoplasmosis rheumatoid arthritis early HIV infection
34
Follicular hyperplasia vs. follicular lymphoma: architecture
H: normal with follicles varying in size L: disruption by follicles of similar size
35
Follicular hyperplasia vs. follicular lymphoma: mantle zone
H: polarized L: no polarized
36
Follicular hyperplasia vs. follicular lymphoma: marcrophages
H: tingable body macrophages L: no tingable body macrophages
37
Follicular hyperplasia vs. follicular lymphoma: bcl2 pattern
H: normal L: reverse
38
what does bcl2 normally stain in a lymph node
mantle cells | turned off in germinal centers
39
paracortical hyperplasia stimulates what cells
T cells
40
Etiologies for paracrotical hyperplasia
VIRAL INFECTIONS - mono | DRUGS
41
what is located in sinus histiocytosis
macrophages
42
lymphadenopathies name 3 types
follicular hyperplasia paracortical hyperplasia Sinus histiocytosis
43
what are two types of lymphadenitis
acute nonspecific | chronic nonspecific
44
characteristics of acute nonspecific lymphadenitis
enlarged, red tender, soft noes
45
characteristic of chronic nonspecific lymphadenitis? what can cause this
non-tender nodes | -chronic immunologic stimulation
46
what is the most common lymphadenitis in children
acute nonspecific lymphadentitis
47
what can cause acute nonspecific lymphadentitis
drainage of infections
48
lymphoma vs leukemia location
lymphoma: tissue leukemia: blood or bone marrow
49
how do 2/3 of lymphoma's present? the rest
non-tender adenopathy | 1/3: extranodal tissue involvement
50
Leukemia can involve what other organs
liver and spleen
51
what are subcategories of plasma cell neoplasms
multiple myeloma MGUS Plasmacytoma
52
plasma cell neoplasms deal with what cells
B cells
53
plasma cell neoplasms is a problem where and does it include anything else?
arise in bone marrow, rarely involves lymph nodes
54
what do plasma cell neoplasms do to bone
lytic lesions
55
what are the B-symptoms
fever, night sweats, weight loss
56
what do lymphoid neoplasms do to the immune system
disrupt architecture and function of immune system
57
what are two types of lymphomas
Non-hodgkins | Hodgkins