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8 Cards in this Set

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Hairy Cell Leukemia Clinical
Men more affected

splenomegaly
pancytopenia - especially monocytopenia

confused with MDS often

recurrent opportunistic infection, vasculitis, immune dysfunction
Hairy Cell Leukemia Morphology
Blood lakes in spleen

Abnormal cells have hairy projections on blood smear

TRAP stain positive

CD20+ stain BM - if see alot then something bad
Can you use flow cytometry to diagnose Hairy Cell Leukemia
NO due to increased reticular fiber content of tissues
Hairy Cell Leukemia Immunophenotype
CD20, CD22, CD11c, CD103, Annexin A1
T/F no cytogenetic abnormality specific to Hairy cell leukemia
true
T/F most cases of Hairy Cell Leukemia demonstrate VH genes with somatic hypermutation
True - indicates post germinal center stage of maturation
Hairy Cell Leukemia Treatment
uniquely sensitive to alpha-interferon or nucleosides - pentostatin or cladribine

Rutiximab
Pentostatin, Cladribine
nucleoside used in treatment of hairy cell leukemia