Shared Flashcard Set

Details

AML and myelodysplastic
n/a
19
Medical
Graduate
10/15/2008

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Cards

Term
Leukocytosis with numerous blasts, myeloperoxidase negative-prognosis?
Definition
m0- poor
Term
BM failure, blasts in blood, most peroxidase positive, >90% blasts in BM
Definition
m1
Term
t(8,21)- prognosis
Definition
m2, better prognosis, responds to therapy
Term
hypergranular promyelocytes w/ auer rods
Definition
m3
Term
t (15,17)
Definition
m3-threat w/ ATRA
Term
Patient presents w/ DIC
Definition
M3
Term
>20% myeloblasts, >20% monoblasts w/ myelocyte and monocyte differentiation
Definition
m4
Term
inv 16 or translocated 16
Definition
m4 (eosinophilia)
Term
Translocations deletions w/ 11 - prognosis
extra medullary involvement, significant risk of meningeal involvement
Definition
m5- worse
Term
patient presents w/ profound anemia- prognosis
Definition
m6 (erythroleukemia)-poor
Term
increased incidence in down syndrome <3
Definition
m7
Term
extra medullary involvement seen w/ which 2
Definition
m4, m5
Term
mutations in Flt3 common (although seen in others), regulates survival, proliferation and differentiation of primitive hematopoetic progenitor cells
Definition
m5
Term
macrocytic anemia for years, noted loss of 5, 7 or 8, now blasts in blood
Definition
2ndary AML (30% of myelodysplastic syndrome become AML)
Term
Gemtuzumab ozogamicin is?
Definition
recombinant humanizeed IgG against CD33- for AML w/ CD33 positive
Term
Induction therapy for AML?
Definition
anthtracycline (doxorubicin) + cytarabine
Term
myelodysplastic syndrome - scoring system based on (3)
Definition
percent BM blasts, specific karyotypic abnormalities, number of CYTOPENIAS
Term
5 azacytidine and decitabine -for? interfere w/ ?
Definition
for myelodysplasia, interfere w/ DNA hypermethylation, un silence previously silenced regulatory genes
Term
Lenalidomide used for?
Definition
5q deletions, significant and prolonged improvements on bloodcounts, as well as decrease or disapperance of abnormal karyotype
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