leukemia notes pdf
Posted on October 8th, 2020Cohort B – Chemotx followed by leukapheresis (25 patients). .com/image/28065.htm, t(15;17) translocation also arrests maturation, Lecture notes, lecture Week 7 Lecture 1 - Acute leukemia, Copyright © 2020 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Share your documents to get free Premium access, Upgrade to Premium to read the full document, Lecture notes, lecture Week 2 Lecture 1 - Path 310, Lecture notes, lecture Week 5 Lecture 1 - Channelopathies cardiomyopathies, Lecture notes, lecture Week 6 lecture 2 - intro to cancer, Lecture notes, lecture Week 7 Lecture 2 - Acute leukemia, Lecture notes, lecture Week 8 Lecture 1 - path 310. The blood is made up of fluid called plasma and three types of cells and each type has special functions. MICHAEL RAUH, MD, PHD – Most common in those with M4 or M5 leukemia – Function of the blast cells being less deformable than mature myeloid cells. Definition It is a group of malignant disorder, affecting the blood and blood –forming tissue of the bone marrow lymph system and spleen. – High metabolic activity of blast cells and local production of various cytokines contribute to underlying hypoxia, – CNS: headaches, altered mentation, CN palsies, ocular symptoms, – Chemotherapy with induction agents (e.g cytarabine, anthracycline) or with high dose hydroxyurea, – Consider low dose cranial irradiation to prevent cell proliferation in the CNS (can see intracranial hemorrhage in patients with leukostasis), – Avoid PRBC transfusion if possible as additional blood elements contribute to the hyperviscosity, – In patients that are unable to undergo immediate chemotx (e.g renal insufficiency, metabolic derangements, etc), leukapheresis is a 2nd option, – Limited affect on established vascular plugs, – Limited benefit in those with underlying pulmonary symptoms following chemotx.
Leukemia Dr. Deepak K. Gupta 2. Certain forms of leukemia in its initial stages may be asymptomatic. Meningeal leukemia (or leukemic meningitis) → headache, neck stiffness, visual field changes, or other CNS symptoms (caused by CNS involvement) [1] [16] Testicular enlargement (rare finding) Leukemia cutis (or myeloid sarcoma): nodular skin lesions with a purple or gray-blue color ; Gingival hyperplasia (AML subtype M4 and M5) FEBRUARY 22, 2016, Hematopoietic stem cells (HSC) are found in the bone Leukemia Handwritten Note PDF Download. 132 patients with 63 receiving APC and 69 receiving UFH. – At a median follow-up of 24.2 months, the overall survival was similar in both cohorts (Cohort A, 7.5; Cohort B, 6.5 months). Powered by. ALL, Burkitt’s lymphoma); also can be seen with AML, • Tumor lysis syndrome - hyperphosphatemia, hyperkalemia, hyperuricemia, hypocalcemia and uremia, – Retrospective study of 788 patients (433 adults) found incidence of hyperuricemia and TLS to be 14.7%/3.4% in patients with AML compared to 21.4%/5.2% in patients with ALL and 19.6%/6.1% in patients with NHL, • Electrolyte abnormalities can occur without the entire spectrum of TLS or even before tx is initiated, • Release of intracellular proteins →catobilized to hypoxanthine → xanthine → uric acid → Crystalization of uric acid and in renal tubules → impaired renal function, • Release of phosphate from malignant cells → calcium phosphate precipitation and further renal impairment along with hypocalcemia and resultant symptoms from ↓Ca, – Hyperphosphatemia: nausea, vomiting, diarrhea, seizures, lethargy, – Hypocalcemia: arrhythmia, hypotension, tetany, cramps, – Hyperkalemia: arrhythmia, cramps, paresthesia, – IV hydration : promotes excretion of uric acid and phosphate; improves renal blood flow/GFR, – Allopurinol → competitive inhibitor for xanthine oxidase. with more clumped 3.
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