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Leukemia + Lymphoma
Term | Definition |
---|---|
Acute Lymphocytic Leukemia (ALL) | Aggressive, more common in children Faster response, better treatment Philadelphia chromosome (9+22) Immature T and B cells (lymphoblasts) Signs- Anemia, increased bleeding, lymph node enlargement, splenomegaly, infection risk 1, bone pain, CNS |
Chronic Lymphocytic Leukemia (CLL) | Most common type in US Over 70, male agents that disrupt DNA important (ZAP-7) - Postitive bad, negative good B-Cell malignancy B-CLL = protooncongene bcl2 typical signs WBC >20,000 (lymphocytosis) smudge cells, bone marrow biopsy |
Acute Myelogenous Leukemia (AML) | Proliferation of undifferentiated myeloid blast cells MB can invade other tissues Risk if chemotherapy or radiation for cancers Oncongenes, FLT 3, c-KIT Chromosome 8 + 12 common Typical signs |
Chronic Myelogenous Leukemia (CML) | Overproduction of mature myeloid cells 65+ Philadelphia Clinical Course: 1- chronic :Neutrophils lose differentiation 2- accelerated: Neutrophils more undifferentiated 3- Blast Crisis: MB dont differentiate, spread Typical Signs WBC >100000 |
Non-Hodgkin's Lymphoma (NHL) | B, T, NK cells - 30 subtypes Middle aged or older, men 14 +18 chromosomal translocation HIV, Hep C, H.pylori associated Immunosuoppresive treatment may increase NHL risk enlarged, painless lymph node first sign |
Hodgkin's Lymphoma (HL) | B cell - 5 subtypes Most common young adults and children over 10 years of age Unknown cause may play a role, EBV Reed-Sternberg cells: malignant B cell with two nuclei (Owl Eyes) No dramatic symptoms, enlarged lymph node present |