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E.1. Myeloid Proliferation
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Published
10/21/2024
The common feature of myeloid neoplasms is their origin from {{c1::hematopoietic progenitor cells}}.
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Myeloid neoplasms primarily involve {{c1::marrow}} and to a lesser degree the {{c1::secondary hematopoietic organs}}
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Myeloid neoplasms usually present symptoms related to?
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10/21/2024
Three broad, major categories of myeloid neoplasms exist
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10/21/2024
Pathogenesis of myeloid neoplasms is a result form the {{c1::derangement of normal hematopoiesis}}
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Deranged mechanisms of normal hematopoiesis in myeloid neoplasm include
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The specific manifestations of the different myeloid neoplasms are influenced by
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{{c1::Acute myeloid leukemia (AML)}} is a tumor of hematopoietic progenitors caused by acquired oncogenic mutations that impede differentiation
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10/21/2024
{{c2::Acute myeloid leukemia (AML)}} leads to the accumulation of immature myeloid blasts in the {{c1::marrow}}
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10/21/2024
The replacement of the marrow in AML with blasts produces marrow failure and complications related to {{c1::anemia::particular increase or decrease in…
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Pathogenesis in AMLMutations in AML tend to fall into four functional categories:
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These two genes encode polypeptides that bind one another to form a RUNX1/CBFB transcription factor that is required for normal hematopoiesis.
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10/21/2024
These two genes: t(8;21) and inv(16) encode polypeptides that bind one another to form a {{c1::RUNX1/CBFB transcription factor}} that is required for …
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10/21/2024
t (15;17) is another translocation is the translocation of 15 and 17 and is found in {{c1::acute promyelocytic leukemia}}
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10/21/2024
Receptor tyrosine kinase that transmits signals that mimic normal growth factor signaling
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The diagnosis of AML is based on the presence of at least {{c1::20% myeloid blasts}} in the bone marrow.
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10/21/2024
Myeloblasts have delicate nuclear chromatin, {{c1::two to four}} nucleoli, and {{c2::more voluminous}} cytoplasm than lymphoblasts
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The cytoplasm of myeloblasts often contains?
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10/21/2024
These are distinctive needle-like azurophilic granules that are present in many cases of AML; they are particularly numerous in AML with the t(15;17) …
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10/21/2024
Monoblasts have {{c1::folded or lobulated nuclei}}, {{c2::lack Auer rods}}, and are {{c3::nonspecific esterase-positive}}.
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Blasts are entirely absent from the blood like in {{c1::aleukemic leukemia}}.
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A {{c1::bone marrow examination}} is essential to exclude acute leukemia in cytochromic patients due to the aleukemic leukemia chracateristics.
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10/21/2024
Because it can be difficult to distinguish myeloblasts and lymphoblasts morphologically, the diagnosis of AML is confirmed by performing stains for {{…
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10/21/2024
AML arising de novo in {{c1::younger adults}} is commonly associated with balanced chromosomal translocations, particularly t(8;21), inv(16), and t(15…
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10/21/2024
In contrast, AML following MDS or exposure to DNA-damaging agents often has {{c1::deletions or monosomies}} involving {{c2::chromosomes 5 and 7}}
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10/21/2024
AML occurring after treatment with {{c1::topoisomerase II inhibitors}}, which is strongly associated with translocations involving the KTM2A gene on c…
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10/21/2024
AML in {{c1::older adults}} also is more likely to be associated with “bad” aberrations such as deletions of chromosomes 5q and 7q and complex karyoty…
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AML:Most patients present within weeks or a few months of the onset of symptoms with complaints related to→ {{c1::Anemia}} → {{c2::Neutropenia}} → {{c…
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10/21/2024
{{c1::Procoagulants}} and {{c2::fibrinolytic factors}} released by leukemic cells, especially in {{c3::AML with the t(15;17)}} exacerbate the bleeding…
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10/21/2024
AML mutation that have the best prognosis of any type
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10/21/2024
refers to a group of clonal stem cell disorders characterized by maturation defects that are associated with ineffective hematopoiesis and a high risk…
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10/21/2024
In MDS, the bone marrow is partly or wholly replaced by the {{c1:: clonal progeny}} of a neoplastic multipotent stem cell that retains the capacity to…
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10/21/2024
The affected proteins can be lumped into three major functional categories:{{c1::Epigenetic factors}}{{c1::RNA splicing factors}}{{c1::Transcription f…
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10/21/2024
Affected proteins in MDS:Transcription factors-Most of the mutations are loss-of-function mutations in genes such as {{c1::RUNX1}}
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10/21/2024
MDS:The most characteristic finding is {{c1::disordered (dysplastic) differentiation}} affecting the {{c2::erythroid}}, {{c2::granulocytic}}, {{c2::mo…
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Bone marrow in MDS is usually {{c1::hypercellular}} at diagnosis
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MDS:Within the erythroid series, common abnormalities include {{c1::ring sideroblasts}}
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MDSMost characteristic finding:{{c1::Pseudo–Pelger-Hüet}} cells, neutrophils with only two nuclear lobes
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MDSMost characteristic finding:Megakaryocytes with single nuclear lobes or multiple separate nuclei is called {{c1::pawn ball megakaryocytes}}
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Primary MDS is predominantly a disease of {{c1::older adults}}; the mean age of onset is {{c2::70 years}}.
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MDSWhen symptomatic, it presents with{{c1::weakness,}}{{c1::infections,}}{{c1::hemorrages}}
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10/21/2024
MDSWhen symptomatic, it presents with weakness, infections, and hemorrhages, all due to {{c1::pancytopenia}}.
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10/21/2024
The common pathogenic feature of myeloproliferative neoplasms is the presence of mutated, constitutively→ Presence of mutated, constitutively activate…
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10/21/2024
Common features among MPNs: → {{c1::Increased}} proliferative drive in the BM → Produce {{c2::extramedullary}} hematopoiesis → Marrow fibrosis and {{c…
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10/21/2024
Chronic Myeloid Leukemia CML is distinguished from other myeloproliferative neoplasms by the presence of a chimeric {{c1::BCR-ABL gene}}
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10/21/2024
CML{{c1::BCR-ABL}} preferentially drives the proliferation of granulocytic and megakaryocytic progenitors and also causes the abnormal release of imma…
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10/21/2024
CMLThe marrow is markedly {{c1::hypercellular}} because of massively increased numbers of maturing {{c2::granulocytic precursors}}
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10/21/2024
CMLA characteristic finding is the presence of {{c1::scattered macrophages}} with abundant wrinkled, green-blue cytoplasm—so-called {{c2::sea-blue his…
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CMLThe blood reveals a {{c1::leukocytosis}}, often exceeding 100,000 cells/mm3
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10/21/2024
CML is best differentiated from other myeloproliferative neoplasms by detection of the {{c1::BCR-ABL}} fusion gene
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10/21/2024
CMLTreatment with {{c1::BCR-ABL inhibitors}} results in sustained hematologic remissions in greater than 90% of patients, with generally tolerable sid…
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