Presentation
Rare patients may present with aplastic anemia [259]. [aibolita.com]
Lymphoid nodules were present in 4 cases. Flow cytometery showed an immunophenotype of CD3(+) CD4(-) CD8(+) CD56(-) CD57(+) of the tumor cells in 13 cases. [pesquisa.bvsalud.org]
Enlarged lymph nodes are rarely found, but splenomegaly is often present. To the best of our knowledge, a cutaneous presentation as observed in our patient is uncommon. T-LGL leukaemia is usually a clonal proliferation of suppressor T cells. [medicaljournals.se]
Furthermore, the altered Fc receptors which were undetectable by the Leul 1 antibody but were still effective for ADCC activity might be present in case 2 LGLs. [kyushu-u.pure.elsevier.com]
In the present patient, a posteriori evaluation of the bone marrow histology from the diagnosis of APL demonstrated that LGL expansion was already present, suggesting that it may have been an attempt to control APL tumor growth. [spandidos-publications.com]
Entire Body System
- Pathologist
Therefore, a good color atlas is the most helpful tool for these young hematopathologists and for the surgical pathologists who may encounter a few cases of hematologic tumors from time to time. [books.google.com]
This authoritative and state-of-the-art reference will be invaluable for clinicians directly involved in the diagnosis and analysis of hematological diseases, including hematologists, hematopathologists, oncologists, pathologists and technicians working [books.google.de]
Your dedicated team may include a surgeon, medical oncologist, radiation oncologist, radiologist, pathologists, other specialty physicians and nurses providing various levels of care. We are partners in your care. [pennstatehershey.org]
Sometimes, the pathologist may perform special studies, which may include immunohistochemical stains, histochemical stains, molecular testing, and very rarely electron microscopic studies. [dovemed.com]
Gastrointestinal
- Gagging
Although most patients are not infected with prototypical HTLV, sera from these patients do show reactivity against gag p24 and env p21e of HTLV-I ref. [ufrgs.br]
- Abdominal Fullness
Also they lack CD4, CD8, CD5 and CD56 expression Click here to view Case 2 A 85-year-old had complaints of abdominal fullness for 3 months. Examination showed presence of an umbilical hernia and an ill-defined lump in the left lumbar region. [ijpmonline.org]
Musculoskeletal
- Long Arm
The most frequent structural abnormality appears to be deletion of the long arm of chromosome 6, del(6q), with 2 cases of del(6)(q21) and 1 case of del(6)(q21q25) reported as part of complex karyotypic aberrations, and two cases of del(6)(q21q26) as the [atlasgeneticsoncology.org]
Psychiatrical
- Fear
She provides a window into these women's lives, brilliantly portraying their hopes and fears and their struggle to live with dignity. [books.google.de]
Neurologic
- Stroke
[…] all the latest approaches in clinical laboratory medicine with new and updated coverage of: the chemical basis for analyte assays and common interferences; lipids and dyslipoproteinemia; markers in the blood for cardiac injury evaluation and related stroke [books.google.de]
Urogenital
- Dysuria
She had complaints of frequency of micturition and dysuria since 8 months. On examination there was no organomegaly or lymphadenopathy. [ijpmonline.org]
Cough, shortness of breath, sore throat, chest pain, dysuria, urinary retention, urgency or frequency, abdominal or rectal pain. Physical exam Focus on identifying signs of infection with most attention to oral, lung, skin and perirectal exams. [clinicaladvisor.com]
- Frequency of Micturition
She had complaints of frequency of micturition and dysuria since 8 months. On examination there was no organomegaly or lymphadenopathy. [ijpmonline.org]
Workup
Many patients are diagnosed with T-LGL during workup of asymptomatic cytopenias, neutropenia, or lymphocytosis [255]. [aibolita.com]
The patient had been diagnosed about 3 months prior to this presentation with "large granular lymphocytosis" (LGL) after a workup for pancytopenia. Methotrexate and prednisone had been started 1 month ago for the treatment of LGL. [thoracicmedicine.org]
Biopsy
- Liver Biopsy
Liver biopsies from LGL leukemia patients show prominent intrasinusoidal infiltration. In cases where infiltration is marked, portal areas are sometimes involved. [ufrgs.br]
Treatment
Armitage, Bertrand Coiffier, Riccardo Dalla-Favera Lippincott Williams & Wilkins, ٠١/١١/٢٠٠٩ - 597 من الصفحات Thoroughly updated for its Second Edition, Non-Hodgkin Lymphomas is the definitive textbook on the biology, diagnosis, staging, and treatment [books.google.com]
They also illuminate the scientific basis needed to understand the new diagnostic and treatment methodologies, the molecular pathogenesis of many hematologic disorders, and the new cellular therapies for these malignant disorders. [books.google.de]
This personalized treatment plan may require additional testing before treatment can begin, as well as consultation with other specialists. [pennstatehershey.org]
The effect is usually sustained with persistent immunomodulating treatment, even if the cytokine treatment is discontinued ( 9 ). [tidsskriftet.no]
Also, a treatment of the underlying condition is typically undertaken. [dovemed.com]
Prognosis
What is the Prognosis of Transient Large Granular Lymphocytosis? (Outcomes/Resolutions) The prognosis of Transient Large Granular Lymphocytosis is generally good in a majority of the individuals with appropriate treatment. [dovemed.com]
Prognosis is poor if anemia, thrombocytopenia, neutropenia, bulky lymphadenopathy, and severe lymphocytosis are present. Resources - Large granular lymphocyte leukemia Not supplied. [checkorphan.org]
At this point the CLL is often refractory to therapy and the prognosis worsens. Richter's syndrome " refers to the development of a large cell lymphoma, usually immunoblastic. [med-ed.virginia.edu]
The current development of gene expression profiling is even more powerful in terms of subtyping the hematologic tumors, which may help guiding the treatment and predict the prognosis. [books.google.com]
What this means for the prognosis of this particular LGL leukaemia compared with non-epidermotropic ones is currently unclear. [medicaljournals.se]
Etiology
TERMINOLOGY Abbreviations T-cell large granular lymphocytic leukemia (T-LGL leukemia) Definitions Persistent clonal proliferation of T-cell large granular lymphocytes (T-LGLs) ETIOLOGY/PATHOGENESIS Hypotheses Chronic antigenic stimulation resulting in [basicmedicalkey.com]
Blood 1997;89:256 ) Epidemiology Uncommon; 2 - 3% of mature lymphocytic leukemias M:F ratio 1:1 No clearly defined age peak, majority between 45 - 75 years (73%) Sites Peripheral blood, bone marrow, liver, spleen Lymph node involvement – very rare Etiology [pathologyoutlines.com]
ETIOLOGY AND PATHOGENESIS The etiology of T-LGL leukemia is unknown. Infection with HTLV-II has been detected in two patients. [medtextfree.wordpress.com]
Etiology Sometimes associated with B cell chronic lymphoproliferative disorder such as hairy cell leukaemia and chronic lymphocytic leukaemia; rarely may follow solid organ transplantation. [atlasgeneticsoncology.org]
(Etiology) The exact cause of Transient Large Granular Lymphocytosis is unknown. [dovemed.com]
Epidemiology
“Changing epidemiology of infections in patients with neutropenia and cancer: emphasis on gram-positive and resistant bacteria”. [clinicaladvisor.com]
[…] patients do not show evidence of HTLV-I or HTLV-II infection Reactivity against small peptide derived from an HTLV-I envelope protein has been reported Etiology of Neutropenia FAS/FAS-L-induced premature apoptosis of granulocytic precursors CLINICAL ISSUES Epidemiology [basicmedicalkey.com]
(T-LGL) is a heterogeneous disorder characterized by a persistent ( > 6 months) increase in the number of peripheral blood large granular lymphocytes (LGL), usually 2 - 20 × 10 9 /L, without a clearly identified cause (WHO 2008, Blood 1997;89:256 ) Epidemiology [pathologyoutlines.com]
Epidemiology 2-5% of all chronic lymphoproliferative disorders in the West, and 5-6% in the Chinese population. [atlasgeneticsoncology.org]
Leukemia: Chronic Lymphocytic Leukemia Epidemiology: Chronic lymphocytic leukemia (CLL) is the most common (2.7/100,000 incidence) of the chronic lymphoproliferative disorders, representing about 30% of all leukemia. CLL is a disease of adults. [med-ed.virginia.edu]
Pathophysiology
By concisely combining cutting-edge explanations of disease pathophysiology with practical approaches to the diagnosis and management of hematologic disorders, it provides an invaluable vade mecum for today's physicians and students needing to keep up [books.google.de]
Provides details on pathophysiology, mutations and management of different types of congenital and acquired neutropenia.) Bodey, GP, Buckley, M, Sathe, YS. [clinicaladvisor.com]
[…] initiation in most of the cases. 9 Immunosuppressive therapies are usually used in this context, including methotrexate, cyclophosphamide, and cyclosporine. 10 With the advent of potential new therapeutic options, a recent surge in the interest for the pathophysiology [dovepress.com]
Investigating the intriguing association of T-LGL leukemia with autoimmune disorders or B-LPD may lead to better understanding of the pathophysiology of these diseases. [hematologyandoncology.net]
Coincident myelodysplastic syndrome and T-cell large granular lymphocytic disease: clinical and pathophysiological features. Br J Haematol 2001; 112 : 195–200. [nature.com]
Prevention
Prevention - Large granular lymphocyte leukemia Not supplied. [checkorphan.org]
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.de]
Neutropenic patients should be instructed to take preventative steps to limit the number and severity of infections. [clinicaladvisor.com]
Similarly, the failure to eradicate the malignant leukemic clone with therapy does not prevent improvements in underlying cytopenias. Low-dose methotrexate at 10 mg/m 2 per week has been effective in inducing responses. [askhematologist.com]