Presentation
The B-ALL cells presented a c.35G A p.G12D mutation in the KRAS gene, absent in the T-ALL. The T-ALL cells presented a c.35G A (p.G12D) mutation in the NRAS gene, absent in the B-ALL. [learningcenter.ehaweb.org]
A 43-year-old female presented with leukocytosis and bicytopenia. Her complete blood counts were: hemoglobin, 6.9 g/dL; white blood cells, 62.8 10(9)/L; and platelets, 83 10(9)/L. Neither lymphadenopathy nor organomegaly was observed. [pubtransformer.com]
Case reportA 6-month-old boy presented with left eye proptosis, fever,and facial asymmetry. He was found to have cranial nerve VIIpalsy, massive hepatosplenomegaly, and diffuse bruising andpetechiae. [myslide.es]
Presents a full-color design that includes clear illustrative examples of the relevant pathology and clinical issues, for quick access to the answers you need. Incorporates the codified WHO classification for all lymphomas and leukemias. [books.google.com]
In addition to BAL in which a single cell population expresses both myeloid and lymphoid differentiation markers, this new group of leukemias also comprises cases that present with two separate blast populations (acute bilineal leukemia, aBLL). [ncbi.nlm.nih.gov]
Gastrointestinal
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Failure to Thrive
Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more. [books.google.com]
Cardiovascular
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Heart Failure
In asymptomatic pts, abnormalcardiac ndings (NT-proBNP elevations, diastolic LV dysfunction,QTc prolongation) represent subclinical cardiotoxicity, whichindicates a risk for development of heart failure and malignantventricular arrhythmias in the future [documents.tips]
Neurologic
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Confusion
Other cases, however, are characterized by more than one population of blasts, each of which exhibits an unequivocal, lineage-specific pattern of differentiation. 5, 6, 7, 8 Nomenclature for such cases has been confusing; in older literature, these have [nature.com]
Expression of myeloid antigens may be a potential source of confusion considering the occasional presence of CD2 and CD7 in AML [ 26 ]. [omicsonline.org]
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Encephalopathy
Post-transplant course was complicated with Streptococcus viridanssepsis and posterior reversible encephalopathy syndrome (PRES),which manifested as seizures and was thought to be secondary tocyclosporine. [docslide.com.br]
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Excitement
This exciting new, full-color reference provides you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children with cancer. [books.google.com]
Workup
Laboratory workup at that time revealed a WBC count of 3.4 K/ul, hemoglobin 6.4 g/dl, and platelets 93 K/ul. [iupui.edu]
Initial diagnostic workup of acute leukemia: guideline from the College of American Pathologists and the American Society of Hematology. Arch Pathol Lab Med. 2017 Feb 22. [Medline]. [Full Text]. Tsao L, Draoua HY, Osunkwo I, et al. [emedicine.medscape.com]
Various lineage-specific monoclonal antibodies that detect antigens on AML cells should be used at the time of initial diagnostic workup, along with a battery of lineage-specific T-lymphocyte and B-lymphocyte markers to help distinguish AML from ALL and [healthlinkbc.ca]
X-Ray
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Mediastinal Mass
The patient showed a mediastinal mass in the chest X-ray image. A common TCR-gamma rearrangement was detected in purified ( 95% pure) T-ALL and B-ALL cells, suggesting a common origin for both leukemic subpopulations. [learningcenter.ehaweb.org]
Imaging studies revealed a large mediastinal mass withpleural and pericardial effusion and tracheal and superior vena cavalcompression.Labstudiesshowedasuppressedwhitebloodcellcount(WBC 2.7 109/L), mild anemia (Hgb 10.8 g/dl) and a normalplatelet count [docslide.com.br]
Classically, they are considered to have a poor prognosis, as they often are accompanied by hyperleukocytosis of 100 000 blasts / μl, mediastinal mass, tumor lysis, CNS infiltration, and secondary renal complications. [elsevier.es]
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Pericardial Effusion
Imaging studies revealed a large mediastinal mass withpleural and pericardial effusion and tracheal and superior vena cavalcompression.Labstudiesshowedasuppressedwhitebloodcellcount(WBC 2.7 109/L), mild anemia (Hgb 10.8 g/dl) and a normalplatelet count [docslide.com.br]
effusions, hypotension, and, in the most severe cases, acute renal failure. [es.oncolink.org]
Serum
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Bicytopenia
A 43-year-old female presented with leukocytosis and bicytopenia. Her complete blood counts were: hemoglobin, 6.9 g/dL; white blood cells, 62.8 10(9)/L; and platelets, 83 10(9)/L. Neither lymphadenopathy nor organomegaly was observed. [pubtransformer.com]
Finally, an M7 case persisted with severe bicytopenia (anemia and leukopenia) and moderate thrombocytosis for several months without receiving antineoplastic treatment, who presented a myeloblastic crisis and died. [elsevier.es]
Refractory cytopenias with unilineage dysplasia (RCUD) Unilineage dysplasia: Unicytopenia or bicytopenia b -Refractory anemia (RA) - 10% in one myeloid lineage Blasts (none or c -Refractory neutropenia (RN) - -Refractory thrombocytopenia (RT) - Refractory [healthlinkbc.ca]
QT, RR, ST Intervals
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QTc Interval Prolonged
CTnT was negative in all patientduring CT, it became positive in 3 (11.5%) pts 6Mo after CT.On ECHO, systolic LV function decreased bellow 55% in 2 (7.7%)pts and diastolic LV dysfunction developed in 12 (46.2%) pts.On ECG, QTc interval prolonged above [documents.tips]
Treatment
All three patients achieved complete remission (CR) by lymphoid-directed induction treatment followed by switch to myeloid-oriented blocks according Interfant 99, resp. 2006 protocol in pt 1 and 2 and ALL treatment combined with tyrosine kinase inhibitor [bloodjournal.org]
When special knowledge in diagnosis and treatment is required, the skills of a hematologist are called upon. Treatments may include therapeutic phlebotomy, bone marrow aspiration, core bone marrow biopsy, and chemotherapy or other special therapy. [books.google.de]
Theclinical behavior and treatment response of biphenotypic andbilineal acute leukemias are not clearly denite and there is noagreement about the type of treatment required.Materials and Methods: We describe the clinical features,morphology and cytochemistry [documents.tips]
Compared with salvage chemotherapy, treatment with once-daily oral gilteritin... [medworm.com]
Treatment strategies forsuch patients is not well-defined and the efficacy of ALL or AML-based chemotherapeutic strategies remains unclear. [docslide.com.br]
Prognosis
The prognosis of BAL and aBLL is unfavorable, with poor prognostic factors being age, high WBC and the presence of Philadelphia chromosome. [ncbi.nlm.nih.gov]
Jude,4 of 35 patients had 11q23 or MLL rearrangement, but none hadt(10;11)(p12;q23) [6].The presence of MLL rearrangement usually portends an inter-mediate prognosis in AML and a poor prognosis in ALL whichworsens with earlier age of presentation [2,4 [myslide.es]
The prognosis of ABL patients in our cohort was poor, despite SCT preceded by the application of treatment modalities targeting both lymphoid and myeloid clones. [bloodjournal.org]
Acute leukaemias ofambiguous lineage in children: Characterization, prognosis andtherapy recommendations. Br J Haematol 2010;149:8492.[Epub 2010 January 18].11. Van Vlierberghe P, Homminga I, Zuurbier L, et al. [docslide.com.br]
This acute leukemia carries a poor prognosis. [path.upmc.edu]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
[…] chronic myelogenous leukaemia 5) polycythemia vera - clonal disorders of undifferentiated cells of hemopoiesis - various character of lesion: increased disorder/blockage - concern BM and are related to hematopoietic cells 2) myedysplatic syndromes: etiology [quizlet.com]
[…] of a 4-year-old boy with no relevant history; in August 2014 he debuted with multiple painless lymphadenopathy, initially being studied by the Department of Infectious Diseases from Edgardo Rebagliati Martins National Hospital discarding infectious etiology [clinmedjournals.org]
Epidemiology
No epidemiological data on ABL have been published so far and there are also few data on the origin of distinct leukemic clones. [bloodjournal.org]
Epidemiology These rare leukemias account for less than 4% of all cases of acute leukemia and occur in all age groups but are more frequent in adults. [wiki.clinicalflow.com]
See also the following: Epidemiology Acute undifferentiated leukemia (AUL) is extremely rare, and little is known about the frequency of this disease. [emedicine.medscape.com]
BCR-ABL1 Mixed phenotype acute leukemia with t(v;11q23); MLL rearranged Mixed phenotype acute leukemia, B/myeloid, NOS Mixed phenotype acute leukemia, T/myeloid, NOS Mixed phenotype acute leukemia, NOS rare types Other acute leukemias of ambiguous lineage Epidemiology [pathologyoutlines.com]
The GIS model was also set up to include epidemiological data to be correlated with exposure estimates. [personale.unimore.it]
Pathophysiology
It brings together the pathophysiology of disease with detailed clinical guidance on diagnosis and management for the full range of childhood cancers, including aspects important in optimal supportive care. [books.google.com]
Pathophysiology in Multiple myeloma Acceleration of plasma cells in the bone marrow (cont.). - Overcrowding of bone marrow with plasma cells causes: - Anemia. -Thrombocytopenia. - Neutropenia. [quizlet.com]
Currently, the most common clinical practice is to initially treat MPAL patients with ALL-directed chemotherapy. 2 This approach is supported by the retrospective studies described in the previous section and also makes pathophysiological sense because [archivesofpathology.org]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
The prognosis is poor, but initial treatment with therapy directed toward ALL, improved supportive care, and the prevention of abandonment of therapy may improve outcomes in this subgroup of patients. * Laboratoire de cytométrie en flux, Institut National [journals.lww.com]
The guidelines suggest using low-molecular-weight heparin for long-term therapy for prevention of recurrent deep vein thrombosis in patients with advanced or spreading cancer. [slideshare.net]