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ALL - 15-39 yoa

Increased Lymphoblasts
TdT, CALLA, CD10
Spreads to CNS and Testes
12;21 translocation = better prognosis

AML - 15-60 (15-39 = MC; 40-59 = 60%)


M0-M7; M2 is MC
Auer Rods in M2 & M3 (Red, Splinter-to-Rod inclusions)
Treat M3 w/ Retinoic Acid (Vit A)
M3 (Acute Promyelocytic) is d/t 15;17 translocation
M3 involves DIC (always present)
Thrombocytopenia, Gen Lymph, Hepatosplenomegaly
Increased Myeloblasts

Myelofibrosis and Myeloid Metaplasia (MMM)


Mutation in JAK2 gene of Chromosome 9
Ineffective erythropoiesis, Immature granulocytes, Reactive myelofibrosis
Extramedullary hematopoiesis in spleen, liver, other
Hepatosplenomegally

Hairy Cell Leukemia (middle-aged men)


Uncommon, Chronic B-Cell Leukemia
Rarely has Lymphadenopathy
Cytoplasmic projections - Stain TRAP +
CLL - > 60 yoa
MCC of Generalized Nontender Lymphadenopathy
MC overall leukemia
Smudge cells in peripheral smear
Warm antibody AHA (IgG)

CML - 40-60 (40%)


Philadelphia Chromosome (9;22) + bcr-abl fusion
Increased Neutrophils and Basophils
Blast Crisis (CML to AML or ALL) --> Death in 3-6 mths
LOW Leukocyte Alkaline Phosphatase
No Auer Rods
Thrombocytosis OR Thrombocytopenia

JAK2 Mutations = MMM, Polycythemia vera

Presence of Basophilia = PV, Ess thrombocytosis, MMM, CML

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