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7 Cards in this Set

  • Front
  • Back

causes of Leukemia (6 main groups)

1. radiation


2. chemical: benzene, alkylating agents/ topoisomerase inhibs.


3. hereditary (downs 1/95, bloomrs, fanconi, ataxia telangiectasia)


4. hematologic disorders (MDS and MPD's)


5. virus: HTLV-1


6. oncogene: t(8;14) leading to activing of c-myc gene

burkitt's lymphoma : genetic basis

t(8;14) leading to activation of c-myc gene

how does anemia present? wrt CBC


1. which cytopenias?


2. which cells high?


3. resulting sx?

Progressive cytopenias: anemia, thrombocytopenia, neutropenia (fatigue, bleed, infection




progressive leukocytosis


->Leukostasis--> stroke, confusion


-> rapid cell turnover: tumor lysis and gout


-> sanctuary sites: testes

other presentations of leukemia

pictured: leukemia cutis, monocytic leukemia infiltrating gums, granulocytic sarcoma behind eye 

pictured: leukemia cutis, monocytic leukemia infiltrating gums, granulocytic sarcoma behind eye

Note: complication of acute promyelocytic leukemia?

DIC




Tx = ATRA (all trans retinoic acid, arsenic, chemotherapy?)

Pathology differences between ALL and AML



other differences between ALL and AML




adults/children


duration of tx


CNS risk


Sanctuary sites


disease free survival