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24 Cards in this Set

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Most common cancer in kids (especially age 2-5)

ALL

Far more common in kids with Down Syndrome

ALL


("we ALL fall DOWN")

Presents primarily with bone pain as well as fever, LAD, fatigue and recurrent infxns

ALL

Labs shows large cells w/ pale blue cytoplasm prominent nuclei and are + for PAS and TdT


Anemia


Thrombocytopenia


Normal to slightly high WBC

ALL

Occurs mainly in midlife adults and presents with fatigue, easy bruising, recurrent infxns

AML

Labs show large cells that stain + for myeloperoxidase and may show Auer Rods

AML




*Subtype M3 has auer rods

Occurs in midlife adults presenting with fatigue, spleenomegaly, bleeding.




Chromosomal analysis shows Philidelphia chromosome t (9, 22)

CML

What is a potentially lethal complication of CML?

Blast Crisis - sudden conversion to AML that is very resistant to treatment. Requires urgent BM transplant

Labs show Anemia,


thrombocytosis,


↑↑↑ WBC



CML

What chemotherapeutic is especially targeted towards CML with tremendous success?

Tyrosine Kinase Inhibitors




- Imatinib, Dasatinib, Nilotinib (end in "-nib")

Presents mainly in elderly (over 65) and is usually asymptomatic but can display "B-Symp"




Labs show severe leukocytosis and "smudge" cells




How can this be managed?

CLL




- can be managed with periodic monitoring!

"Pre-Leukemia" like condition seen in elderly (over 65) that is often asymptomatic but may show symptoms of low cell counts

Myelodysplastic Syndrome

Labs show Macrocytic anemia, hypogranular neutropenia, low plts and the finding to the left

Labs show Macrocytic anemia, hypogranular neutropenia, low plts and the finding to the left

Myelodysplastic Syndrome




*pictured neutrophil has Pseudo Pelger-Huet Anomaly

Most common leukemia in adults?

CLL

What is this finding and what disease is found in?  What chemo agent is best for this disease?

What is this finding and what disease is found in? What chemo agent is best for this disease?

Multiple Myeloma




- "Clock-Face" clumped chromatin with perinuclear "hough"


- Trx w/ Lenalidomide + BM transplant

What is the presenting age group of the disease associated with this finding?  What classic symptoms can you expect?

What is the presenting age group of the disease associated with this finding? What classic symptoms can you expect?

Hodgkin Lymphoma




- Reed-Sternberg cell shown


- Bimodal age distribution = 20 and 65


- B-symp + Painless CERVICAL LAD (compared to painless GENERALIZED LAD found in Non-hodgekins)

Which Hodgkin Lymphoma is the most common?


Has the best prognosis?


Worst prognosis?

MC = Nodular Sclerosis




Best Prog = Lympho-rich




Worst Prog = Lympho-depleted

What is the most common Non-Hodgkin Lymphoma that is seen mainly in old men?

Diffuse large B-cell

What is the most common Non-Hodgkin Lymphoma in kids?

Lymphoblastic Lymphoma

Which Non-Hodgkin Lymphoma has this finding?  What translocation is it associated with?

Which Non-Hodgkin Lymphoma has this finding? What translocation is it associated with?

Follicular Lymphoma




- t (14, 18)

Which Non-Hodgkin Lymphoma has this finding?  What translocation is it associated with?  Diseases?

Which Non-Hodgkin Lymphoma has this finding? What translocation is it associated with? Diseases?

Burkitt's Lymphoma




- t (8, 14)


- EBV and HIV

Which Non-Hodgkin Lymphoma has malignant cell identical to CLL but is in a solid form?

Small Lymphocytic Lymphoma

Which Non-Hodgkin Lymphoma has this finding?

Which Non-Hodgkin Lymphoma has this finding?

Hairy cell leukemia

What d/o causes thrombosis, Erythomelalgia (burning pain in hands and feet with change in color), puritis, and facial plethora?




What is the treatment?

Polycythemia Vera




- Trx = Hydroxyurea + ASA