Presentation
Modern Surgical Pathology, 2nd Edition presents today's most complete, current, and practical assistance in evaluating and signing out surgical specimens. [books.google.com]
We present two patients with initial presentation of myeloma plasmocyticum and symptoms of chronic myeloid disease in peripheral blood and bone marrow cytology. [journals.viamedica.pl]
Clinical history 31 year old female with a history of an acute myeloid leukemia (M5b FAB), diagnosed one year prior to the presented bone marrow biopsy. [iupui.edu]
Presentation on theme: "Chronic Myeloproliferative Neoplasies (CMPN)"— Presentation transcript: 1 Chronic Myeloproliferative Neoplasies (CMPN) 2 Myeloid Neoplasies WHO Classification Myeloproliferative neoplasies (MPN) Myelodysplastic syndromes (MDS) [slideplayer.com]
CML – Chronic phase Peripheral Smear • Anaemia-NCNC • WBCis elevated (2,00,000/cummm ) • Blast if present 18. [slideshare.net]
Entire Body System
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Pathologist
Edited by four leading surgical pathologists - Noel Weidner, MD, Richard J. Cote, MD, Saul Suster, MD and Lawrence M. [books.google.com]
CONCLUSIONS: Because CIMF has a variety of clinical presentations, diagnosis may be challenging; the prefibrotic stage of CIMF has always been a challenging disease for pathologists to diagnose accurately. [thedoctorsdoctor.com]
Neurologic
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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.com]
Plethora,cyanosis, Vertigo Tinnitus Headache Visual disturbances Paresthesias Systolic hypertension Erythromelalgia Pruritus (aggravated by bath) Weight loss Arthralgia Decreased exercise capacity, Dyspnea Excessive sweating Vascular occlusion TIA, stroke [slideplayer.com]
Arterial thromboses can lead to transient ischemic attack (TIA), stroke, myocardial infarction, angina, or abnormalities of the peripheral circulation that result in ischemia and gangrene. [hematologyandoncology.net]
JAK2V617F is infrequently associated with arterial stroke in the absence of overt myeloproliferative disorder. J Thromb Haemost 2007; 5 : 1784–1785. [nature.com]
Workup
Polycythemia Vera Workup. Medscape Drugs and Diseases. Available online at . Accessed on 1/22/17. Lal, A. (2016 November 10 Updated). Essential Thrombocytosis Workup. Medscape Drugs and Diseases. Available online at . [labtestsonline.it]
See Workup for more detail. [emedicine.medscape.com]
[…] examination signs relate to the CMPD itself and include hepatomegaly, splenomegaly, conjunctival injection, facial plethora, skin excoriations, and gouty arthritis and tophi. 34 Imaging The following chest imaging modalities are typically performed during a workup [phaonlineuniv.org]
Treatment
Clinical end points for drug treatment trials in BCR-ABL1-negative classic myeloproliferative neoplasms: consensus statements from European LeukemiaNET (ELN) and Internation Working Group-Myeloproliferative Neoplasms Research and Treatment (IWG-MRT). [leukemia-net.org]
A chapter on anagrelide, an important novel drug for the treatment of primary thrombocythemia, is included. [books.google.com]
The median survival for polycythemia vera is more than 10 years with treatment. [ajmc.com]
Prognosis
Clinical signs: pathological bone fractures anemia hypercalcemia monoclonal gammopathy (AL amyloidosis) prognosis: bad, an incurable disease, median survival time is 3 years Complex diagnostic criteria — Durie-Salmon staging system. [atlases.muni.cz]
Patients with Chronic Neutrophilic Leukaemia usual have mild splenomegaly with good prognosis 25. [slideshare.net]
The blast crisis transformed from unclas-sified MPD had a grave prognosis as it responded poorlyto chemotherapy. [documents.tips]
Spivak reports receiving consulting fees from Incyte and holding a patent on a genetic assay to determine prognosis in patients with polycythemia vera (PCT/US2013/069192). [nejm.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology: Most often unclear. [atlases.muni.cz]
15 PRV: Etiology-Pathophysiology Progenitors in PRV gain clonal predominance and supress the proliferation of normal progenitor cells. [slideplayer.com]
Epidemiology
Epidemiology: 0.4 – 1.3 / year Age: Median (wide age distribution) Survival: median:3-5 years 43 (Idiopathic Myelofibrosis) (Myelofibrosis with Myeloid Metaplasia) bone 44 IMF Fibroblasts are not part of the clonal process Megakaryocyte derived cytokines [slideplayer.com]
Currently, these diseases are not measured by the Surveillance, Epidemiology, and End Results Program of the National Cancer Institute. [ajmc.com]
EPIDEMIOLOGY The incidence of CMPD is rare and estimated between 6 and 9 new cases per 100,000 per year, most commonly occurring between 40 and 60 years of age. 6, 7 There have been several publications showing that prevalence of PH in CMPD ranges from [phaonlineuniv.org]
Epidemiology ACML is a rare disorder of old adults. No predominance of sex. The incidence is not established. Clinics Anemic syndrome. Splenomegaly. Malaise. Cytology Peripheral blood: Leukocytosis with a high count of immature granulocytes. [atlasgeneticsoncology.org]
Epidemiology of myelodysplastic syndromes and chronic myeloproliferative disorders in the United States, 2001–2004, using data from the NAACCR and SEER programs. Blood. 2008;112(1):45–52. [ehoonline.biomedcentral.com]
Pathophysiology
15 PRV: Etiology-Pathophysiology Progenitors in PRV gain clonal predominance and supress the proliferation of normal progenitor cells. [slideplayer.com]
"Myeloproliferative neoplasms: molecular pathophysiology, essential clinical understanding, and treatment strategies". J. Clin. Oncol. 29 (5): 573–82. doi : 10.1200/JCO.2010.29.8711. PMID 21220604. 2 a b Vardiman, J. W.; Thiele, J.; Arber, D. [en.wikipedia.org]
Genetic basis and molecular pathophysiology of classical myeloproliferative neoplasms. Blood. 2017;129:667-679. Rumi E, Cazzola M. Diagnosis, risk stratification, and response evaluation in classical myeloproliferative neoplasms. [labtestsonline.it]
Increased epo § Idiopathic erythrocytosis § Exclusion criteria met but not positive criteria Polycythaemia vera § 2-3/ 100 000 § Median age of onset is 55-60 years § M:F: 1:1 § Expansion of total red cell mass /- increased platelets, neutrophils § Pathophysiology [ihaematology.com]
Pathophysiology of Blood Disorders. New York: McGraw-Hill; 2011. . Accessed February 09, 2014 [bloodcancerclips.wordpress.com]
Prevention
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.com]
Treatment of Myerloproliferative Neoplasm The goals of therapy of myeloproliferative neoplasia are Prevention and treatment of complications of increased cell counts Prevention of progression of MPN Erradicating the malignant clone Prevention and treatment [allaboutblood.com]
[…] by postpolycythemic myelofibrosis and extramedullary hematopoesis Life expectancy: 10 years Less than normal age/sex group Thrombosis Transformation AML MF 28 PRV Treatment Venesection to keep Hct: %45 Low dose aspirin (if it’s not contraindicated) Prevent [slideplayer.com]