Difference between revisions of "Leukemia"

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==Clinical factors==
Clinical are important in the classification of leukemia.
*Hx of [[myelodysplastic syndrome]]?
*Chemotherapy?
*[[Down syndrome]]?
==Algorithms==
There is a nice set of algorithms from D. Arber - that were presented at the 2009 USCAP.
==Leukemia classification==
AML:
#AML.
#AML with recurrent cytogenetic abnormalities.
#AML from MDS.
#AML in the setting of Down syndrome.
ALL:
#B cell.
#B cell with recurrent cytogenetic abnormalities.
#T cell.
===AML with recurrent cytogenetic abnormalities===
====t(8;21)====
*t(8;21)(q22;q22).<ref>{{Cite journal  | last1 = Berger | first1 = R. | title = Translocation t(8;21)(q22;q22): cytogenetics and molecular biology. | journal = Nouv Rev Fr Hematol | volume = 36 Suppl 1 | issue =  | pages = S67-9 | month =  | year = 1994 | doi =  | PMID = 8177719 }}</ref>
IHC:
*CD34+, CD13+, MPO+ (cytoplasm), CD33+ (weak).
*CD56+, CD117+.
**Usu. assoc. with a bad prognosis.
Flow cytometry:
*CD19+, PAX5+, CD79a +/-.
====inv(16)====
*inv(16)(p13.1q22).<ref name=pmid16917916>{{Cite journal  | last1 = Lu | first1 = CM. | last2 = Murata-Collins | first2 = JL. | last3 = Wang | first3 = E. | last4 = Siddiqi | first4 = I. | last5 = Lawrence | first5 = HJ. | title = Concurrent acute myeloid leukemia with inv(16)(p13.1q22) and chronic lymphocytic leukemia: molecular evidence of two separate diseases. | journal = Am J Hematol | volume = 81 | issue = 12 | pages = 963-8 | month = Dec | year = 2006 | doi = 10.1002/ajh.20716 | PMID = 16917916 }}
</ref>
*Assoc. with myeloid sarcoma.
Microscopic:
*Blast count usu. ~20% (low).
*Eosinophilic granules.
**Used to be classified as "M4" with eosinophilia.
IHC:
*CD2+ -- common.


==See also==
==See also==
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==References==
==References==
{{Reflist|1}}
{{Reflist|2}}


[[Category:Haematopathology]]
[[Category:Haematopathology]]