Submit Search
Upload
Acute leukemia
•
Download as PPT, PDF
•
3 likes
•
591 views
Puneet Shukla
Follow
a simplified approach to blood cancers
Read less
Read more
Health & Medicine
Slideshow view
Report
Share
Slideshow view
Report
Share
1 of 10
Download now
Recommended
Leukaemia lecture 02 ALL transcript
Leukaemia lecture 02 ALL transcript
Rabiul Haque
Acute Lymphoblastic Lymphoma
Acute Lymphoblastic Lymphoma
Archer Review USMLE and NCLEX
Genetic Markers in AML
Genetic Markers in AML
Ferdie Fatiga
Acute lymphoblastic leukemia dr narmada
Acute lymphoblastic leukemia dr narmada
Narmada Tiwari
ACUTE RENAL FAILURE_FINAL PRESENTATION.pptx
ACUTE RENAL FAILURE_FINAL PRESENTATION.pptx
Aditya Sinha
Acute lymphoblastic leukemia in children ch2
Acute lymphoblastic leukemia in children ch2
tilayem
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia
sonika prasad
Updates in acute lymphoblastic leukemia therapy in young adults
Updates in acute lymphoblastic leukemia therapy in young adults
Marwa Khalifa
Recommended
Leukaemia lecture 02 ALL transcript
Leukaemia lecture 02 ALL transcript
Rabiul Haque
Acute Lymphoblastic Lymphoma
Acute Lymphoblastic Lymphoma
Archer Review USMLE and NCLEX
Genetic Markers in AML
Genetic Markers in AML
Ferdie Fatiga
Acute lymphoblastic leukemia dr narmada
Acute lymphoblastic leukemia dr narmada
Narmada Tiwari
ACUTE RENAL FAILURE_FINAL PRESENTATION.pptx
ACUTE RENAL FAILURE_FINAL PRESENTATION.pptx
Aditya Sinha
Acute lymphoblastic leukemia in children ch2
Acute lymphoblastic leukemia in children ch2
tilayem
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia
sonika prasad
Updates in acute lymphoblastic leukemia therapy in young adults
Updates in acute lymphoblastic leukemia therapy in young adults
Marwa Khalifa
Hepatitis c virus associated with renal disease
Hepatitis c virus associated with renal disease
mohamed hassan abbass
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
Aditya Sinha
Acute Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia
MLT LECTURES BY TANVEER TARA
Viruses and the kidney
Viruses and the kidney
Hofstra Northwell School of Medicine
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia
GeneralmedicineAzeez
Acute Lymphoblastic Leukemia-Brief
Acute Lymphoblastic Leukemia-Brief
91varsha
Antibiotics And Leukopenia
Antibiotics And Leukopenia
shabeel pn
File budai-531.927.595,518253
File budai-531.927.595,518253
Ema Budai
What is Acute Lymphoblastic Leukemia?
What is Acute Lymphoblastic Leukemia?
Blood and Marrow Stem Cell Transplantation Centre
Infectious nucleosis jtvpathokmc
Infectious nucleosis jtvpathokmc
JEESHMA T V
Chronic leukemias
Chronic leukemias
Vijay Shankar
Acute myeloid leukemia
Acute myeloid leukemia
Pradip Katwal
Acute lymphoblastic leukemia (ALL) dr arun haldia
Acute lymphoblastic leukemia (ALL) dr arun haldia
Dr Arun Haldia
Aml
Aml
Ankur Varshney
Acute lymphoblastic leukemia approach and treatment
Acute lymphoblastic leukemia approach and treatment
ahmed mjali
Chronic Myeloid Leukemia(CML)
Chronic Myeloid Leukemia(CML)
Md. Al-Amin
Chronic Lymphocytic Leukemia
Chronic Lymphocytic Leukemia
Ranjita Pallavi
Recent updates in Myeloproliferative Neoplasms
Recent updates in Myeloproliferative Neoplasms
Dr. Niladri Sarkar
Part 4 Acute Myeloid Leukemia
Part 4 Acute Myeloid Leukemia
MD Specialclass
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
MAMC,Delhi
Acute lymphoid leukemia (case presentation)
Acute lymphoid leukemia (case presentation)
Dhritiman Chakrabarti
Leukemia
Leukemia
Asst.Prof.Dr.Terdsak Rojsurakitti
More Related Content
What's hot
Hepatitis c virus associated with renal disease
Hepatitis c virus associated with renal disease
mohamed hassan abbass
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
Aditya Sinha
Acute Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia
MLT LECTURES BY TANVEER TARA
Viruses and the kidney
Viruses and the kidney
Hofstra Northwell School of Medicine
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia
GeneralmedicineAzeez
Acute Lymphoblastic Leukemia-Brief
Acute Lymphoblastic Leukemia-Brief
91varsha
Antibiotics And Leukopenia
Antibiotics And Leukopenia
shabeel pn
File budai-531.927.595,518253
File budai-531.927.595,518253
Ema Budai
What is Acute Lymphoblastic Leukemia?
What is Acute Lymphoblastic Leukemia?
Blood and Marrow Stem Cell Transplantation Centre
Infectious nucleosis jtvpathokmc
Infectious nucleosis jtvpathokmc
JEESHMA T V
Chronic leukemias
Chronic leukemias
Vijay Shankar
Acute myeloid leukemia
Acute myeloid leukemia
Pradip Katwal
Acute lymphoblastic leukemia (ALL) dr arun haldia
Acute lymphoblastic leukemia (ALL) dr arun haldia
Dr Arun Haldia
Aml
Aml
Ankur Varshney
Acute lymphoblastic leukemia approach and treatment
Acute lymphoblastic leukemia approach and treatment
ahmed mjali
Chronic Myeloid Leukemia(CML)
Chronic Myeloid Leukemia(CML)
Md. Al-Amin
Chronic Lymphocytic Leukemia
Chronic Lymphocytic Leukemia
Ranjita Pallavi
Recent updates in Myeloproliferative Neoplasms
Recent updates in Myeloproliferative Neoplasms
Dr. Niladri Sarkar
Part 4 Acute Myeloid Leukemia
Part 4 Acute Myeloid Leukemia
MD Specialclass
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
MAMC,Delhi
What's hot
(20)
Hepatitis c virus associated with renal disease
Hepatitis c virus associated with renal disease
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
E-2. ÀÌÁ¤³à_Atlas of lymphocyte.pdf
Acute Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia
Viruses and the kidney
Viruses and the kidney
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia
Acute Lymphoblastic Leukemia-Brief
Acute Lymphoblastic Leukemia-Brief
Antibiotics And Leukopenia
Antibiotics And Leukopenia
File budai-531.927.595,518253
File budai-531.927.595,518253
What is Acute Lymphoblastic Leukemia?
What is Acute Lymphoblastic Leukemia?
Infectious nucleosis jtvpathokmc
Infectious nucleosis jtvpathokmc
Chronic leukemias
Chronic leukemias
Acute myeloid leukemia
Acute myeloid leukemia
Acute lymphoblastic leukemia (ALL) dr arun haldia
Acute lymphoblastic leukemia (ALL) dr arun haldia
Aml
Aml
Acute lymphoblastic leukemia approach and treatment
Acute lymphoblastic leukemia approach and treatment
Chronic Myeloid Leukemia(CML)
Chronic Myeloid Leukemia(CML)
Chronic Lymphocytic Leukemia
Chronic Lymphocytic Leukemia
Recent updates in Myeloproliferative Neoplasms
Recent updates in Myeloproliferative Neoplasms
Part 4 Acute Myeloid Leukemia
Part 4 Acute Myeloid Leukemia
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
Seminar on acute lymphoblastic leukemia by Dr. Prachi Kalra
Viewers also liked
Acute lymphoid leukemia (case presentation)
Acute lymphoid leukemia (case presentation)
Dhritiman Chakrabarti
Leukemia
Leukemia
Asst.Prof.Dr.Terdsak Rojsurakitti
Leukemia
Leukemia
annie113
Leukemia
Leukemia
vijaypj17
Leukemia
Leukemia
raj kumar
Leukemia Powepoit Presentation
Leukemia Powepoit Presentation
AlexisRam96
Leukemia
Leukemia
joeyprince
Viewers also liked
(7)
Acute lymphoid leukemia (case presentation)
Acute lymphoid leukemia (case presentation)
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia Powepoit Presentation
Leukemia Powepoit Presentation
Leukemia
Leukemia
Similar to Acute leukemia
Immunosupp related malig
Immunosupp related malig
Rajiv paul
Hl hing
Hl hing
tyfngnc
Etiopathogenesis of Renal Tumors.pptx
Etiopathogenesis of Renal Tumors.pptx
Anees Puthawala
Clinical meet
Clinical meet
ajit jadhav
Lymphoma lecture(1)
Lymphoma lecture(1)
Hayelom kassaye
MED 341. Acute Leukemia. March 2011.ppt
MED 341. Acute Leukemia. March 2011.ppt
sharifi3
plasma cell neoplasm
plasma cell neoplasm
Pramurtajyoti DebBarma
Diseases of White Blood Cells apthology slide
Diseases of White Blood Cells apthology slide
snehajain78924
Myelodysplastic Syndrome
Myelodysplastic Syndrome
Kaushalya M Krishna
Chapter17
Chapter17
Elsa von Licy
Lymphomas2011
Lymphomas2011
Patrick Carter
ACUTE LEUKEMIA CME FINAL............pptx
ACUTE LEUKEMIA CME FINAL............pptx
HarishankarSharma27
Hodgkin lymphoma
Hodgkin lymphoma
prashantkumbhaj
Differential diagnosis of LETM in adults
Differential diagnosis of LETM in adults
Neurology resident slides
LYMPHOMA
LYMPHOMA
Muhammad Zaid
Lymfomyobrne
Lymfomyobrne
MUBOSScz
Acute Leukemia.ppt
Acute Leukemia.ppt
Rish
Small Bowel Obstruction
Small Bowel Obstruction
jcm MD
Malignant renal-masses-in-pediatrics
Malignant renal-masses-in-pediatrics
Hue University of Medicine and Pharmacy
LUKEMIA
LUKEMIA
دكتور مريض
Similar to Acute leukemia
(20)
Immunosupp related malig
Immunosupp related malig
Hl hing
Hl hing
Etiopathogenesis of Renal Tumors.pptx
Etiopathogenesis of Renal Tumors.pptx
Clinical meet
Clinical meet
Lymphoma lecture(1)
Lymphoma lecture(1)
MED 341. Acute Leukemia. March 2011.ppt
MED 341. Acute Leukemia. March 2011.ppt
plasma cell neoplasm
plasma cell neoplasm
Diseases of White Blood Cells apthology slide
Diseases of White Blood Cells apthology slide
Myelodysplastic Syndrome
Myelodysplastic Syndrome
Chapter17
Chapter17
Lymphomas2011
Lymphomas2011
ACUTE LEUKEMIA CME FINAL............pptx
ACUTE LEUKEMIA CME FINAL............pptx
Hodgkin lymphoma
Hodgkin lymphoma
Differential diagnosis of LETM in adults
Differential diagnosis of LETM in adults
LYMPHOMA
LYMPHOMA
Lymfomyobrne
Lymfomyobrne
Acute Leukemia.ppt
Acute Leukemia.ppt
Small Bowel Obstruction
Small Bowel Obstruction
Malignant renal-masses-in-pediatrics
Malignant renal-masses-in-pediatrics
LUKEMIA
LUKEMIA
More from Puneet Shukla
Urinary tract infection
Urinary tract infection
Puneet Shukla
Upper gastro intestinal symptoms
Upper gastro intestinal symptoms
Puneet Shukla
Sexually transmitted disease and pelvic inflammatory disease
Sexually transmitted disease and pelvic inflammatory disease
Puneet Shukla
Rational use of antibiotics
Rational use of antibiotics
Puneet Shukla
Peptic ulcer disease
Peptic ulcer disease
Puneet Shukla
Pulmonary function test
Pulmonary function test
Puneet Shukla
Liver function test
Liver function test
Puneet Shukla
Interstitial and occupational lung disease
Interstitial and occupational lung disease
Puneet Shukla
Irritable bowel syndrome
Irritable bowel syndrome
Puneet Shukla
Gastro intestinal bleed
Gastro intestinal bleed
Puneet Shukla
Electrocardiogram
Electrocardiogram
Puneet Shukla
Deep vein thrombosis and pulmonary thromboembolism
Deep vein thrombosis and pulmonary thromboembolism
Puneet Shukla
Diptheria.pertussis.tetanus
Diptheria.pertussis.tetanus
Puneet Shukla
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease
Puneet Shukla
Acquired immunodeficiency syndrome aids
Acquired immunodeficiency syndrome aids
Puneet Shukla
Abdomen exam
Abdomen exam
Puneet Shukla
Acid base disorders
Acid base disorders
Puneet Shukla
Acute infectious diarrhea
Acute infectious diarrhea
Puneet Shukla
Acute renal failure
Acute renal failure
Puneet Shukla
Acute rheumatic fever
Acute rheumatic fever
Puneet Shukla
More from Puneet Shukla
(20)
Urinary tract infection
Urinary tract infection
Upper gastro intestinal symptoms
Upper gastro intestinal symptoms
Sexually transmitted disease and pelvic inflammatory disease
Sexually transmitted disease and pelvic inflammatory disease
Rational use of antibiotics
Rational use of antibiotics
Peptic ulcer disease
Peptic ulcer disease
Pulmonary function test
Pulmonary function test
Liver function test
Liver function test
Interstitial and occupational lung disease
Interstitial and occupational lung disease
Irritable bowel syndrome
Irritable bowel syndrome
Gastro intestinal bleed
Gastro intestinal bleed
Electrocardiogram
Electrocardiogram
Deep vein thrombosis and pulmonary thromboembolism
Deep vein thrombosis and pulmonary thromboembolism
Diptheria.pertussis.tetanus
Diptheria.pertussis.tetanus
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease
Acquired immunodeficiency syndrome aids
Acquired immunodeficiency syndrome aids
Abdomen exam
Abdomen exam
Acid base disorders
Acid base disorders
Acute infectious diarrhea
Acute infectious diarrhea
Acute renal failure
Acute renal failure
Acute rheumatic fever
Acute rheumatic fever
Recently uploaded
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
narwatsonia7
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Taniya Sharma
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
RewAs ALI
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
parulsinha
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
Miss joya
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
CALL GIRLS
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
astropune
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
Miss joya
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
narwatsonia7
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Miss joya
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
Miss joya
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
indiancallgirl4rent
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call girls in Ahmedabad High profile
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
9953056974 Low Rate Call Girls In Saket, Delhi NCR
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
AlinaDevecerski
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
vidya singh
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Miss joya
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Miss joya
Recently uploaded
(20)
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Acute leukemia
1.
Acute leukemia Myeloid- AML & Lymphoblastic-
ALL
2.
AML Common acute
leukemia in adults Incidence increases with age Risk factors- MDS/MPD Chemotherapy- alkylating agents-chr. 5,7,11,17, topoisomerase II inhibitors-chr. 11,21 Radiation Benzene Genetic- Down’s syndrome, DNA repair defects
3.
Diagnosis s/s- anemia,
bleeding tendency, infection CBC- low Hb/platelets, WBC low/n/raised Bone marrow- >20% myeloblasts, Auer rods Cytochemistry- MPO/esterase +ve staining Immunohistochemistry- CD 13, 33 +ve Cytogenetics- inv 16, t(15:17)/(8:21), -5/-7 LFT, RFT, aPTT/INR, CxR etc.
4.
Classification WHO- prognosticates
With charac. cytogenetics- inv16, t(15:17)/(8:21)- good Px With prior MDS/MPD- more in elderly- poor Px Prior therapy related- poor Px Other FAB- M0-M7- morphological M2- with granulocyte maturation- t(8;21)- good Px M3- promyelocytic- t(15:17)- bleeding tendency- best Px M4/5- monocytic- inv16- gum hypertrophy M5- erythroid M7- megakaryoblastic
5.
Treatment & prognosis
Induction chemotherapy- goal is remission- normal CBC with BM blasts <5% 3+7- Dauno/Idarubicin + Cytarabine M3- ATRA + chemotherapy Consolidation chemo.- maintain remission Good Px- 3-5 cycles of 2+5/3+7 Bad Px- allogeneic SCT Prognosis- Depends on- cytogenetics, primary/secondary, age, PS Cure rates- ~25%
6.
ALL Common acute
leukemia in children s/s- Fatigue, pallor, anemia Easy bruisability, petechiae Bone pains LNE HS’megaly Fever, frequent infection CNS (meningeal) involvement- cranial nerve defects Testicular involvement- painless asymmetrical enlargement
7.
Diagnosis s/s CBC
with PBS examination BM examination- >20% lymphoblasts Cytochemistry- MPO –ve IHC- CD 2/7/10/19 +ve, Tdt +ve, CALLA Ag +ve Cytogenetics- t(8:14)- Burkitt’s t(9:22)/(4:11)- poor Px, t(12:21)- good Px- commonest CSF examination CxR/CT chest, LFT, RFT, US/CT abdomen etc.
8.
Classification-WHO ALL- precursor
cell- FAB L1 or L2- Tdt +ve B-cell T-cell Burkitt’s leukemia- FAB L3- sIg +ve Biphenotypic Variants- With cytoplasmic granules Aplastic presentation With eosinophilia
9.
Treatment & prognosis
Chemotherapy- phases Remission induction- V.P.L.D & IT CNS prophylaxis Consolidation- multiple drugs in various combination Maintenance- 2-3 years- Mtx.6-MP.V.Steroids Prognosis- Worsens as age increases Worse with initial raised WBC, CNS involvement, 2° ALL t(9:22)/(4:11)/(8:14)- poor Px Hyperdiploidy, t(12:21)- good Px Cure rates- ~30%
10.
Treatment & prognosis
Chemotherapy- phases Remission induction- V.P.L.D & IT CNS prophylaxis Consolidation- multiple drugs in various combination Maintenance- 2-3 years- Mtx.6-MP.V.Steroids Prognosis- Worsens as age increases Worse with initial raised WBC, CNS involvement, 2° ALL t(9:22)/(4:11)/(8:14)- poor Px Hyperdiploidy, t(12:21)- good Px Cure rates- ~30%
Download now