Leukemia
by Maria Jose Sanchez
1. Acute
1.1. Fatigue, bleeding infections
1.1.1. BM Smear: > 20% Blasts
1.2. ALL
1.2.1. kids
1.2.2. Infiltrate: CNS and testes
1.2.2.1. intrathecal MTX
1.2.3. t(12:21)
1.2.4. Rx
1.2.4.1. Fluids
1.2.4.2. Allopurinol, Rasburicase
1.3. AML
1.3.1. Smear: Auer Rods
1.3.2. AML M3(t 15:17)
1.3.2.1. risk DIC
1.3.2.2. Rx: ATRA
1.3.3. Rx: Idarubicin + cytosine arabinoside
2. Chronic
2.1. CML
2.1.1. young
2.1.1.1. if untreated - Acute
2.1.1.1.1. Risk stroke, priapism
2.1.1.2. Dx
2.1.1.2.1. - LAP
2.1.1.2.2. PCR DNA
2.1.1.2.3. FISH
2.1.1.3. Rx
2.1.1.3.1. Imatinib
2.1.1.3.2. BM transplant
2.2. CLL
2.2.1. Old
2.2.1.1. Dx
2.2.1.1.1. Smear: Smudge cells
2.2.1.2. Stages
2.2.1.2.1. Stage 0
2.2.1.2.2. Stage
2.2.1.2.3. Stage
2.2.1.2.4. Stage
2.2.1.2.5. Stage
2.2.1.3. Richter's transformation
2.2.1.3.1. NHL