Acute Myeloid Leukemia Overview
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Acute Myeloid Leukemia Overview

Created by
@MagicSunstone

Questions and Answers

What is a common genetic mutation associated with Acute Myeloid Leukemia (AML)?

  • t(8;21)(q22;q22) (correct)
  • inv(16)(p13.1;q22)
  • t(15;17)(q22;a12)
  • t(3;12)(q21;q24)
  • Which histological feature is typically seen in Acute Promyelocytic Leukemia?

  • Auer rods
  • Toxic granulation
  • Abnormal promyelocytes with Auer bodies (correct)
  • Ringed sideroblasts
  • What type of cell is primarily affected in Myelodysplastic Syndromes?

  • Megakaryocyte precursors
  • Myeloid precursors (correct)
  • Lymphoid precursors
  • Erythroid precursors
  • Which of the following is NOT a characteristic of AML with t(8;21)(q22;q22)?

    <p>Fusion of CBFB with MYH11</p> Signup and view all the answers

    What is a noted poor prognostic factor in AML?

    <p>High initial white blood cell count</p> Signup and view all the answers

    In which population is AML with t(8;21)(q22;q22) primarily seen?

    <p>Children</p> Signup and view all the answers

    Which type of genetic mutation is associated with AML with inv(16)(p13.1;q22)?

    <p>Fusion of CBFB with MYH11</p> Signup and view all the answers

    What clinical condition can be related to Acute Promyelocytic Leukemia?

    <p>Disseminated intravascular coagulation (DIC)</p> Signup and view all the answers

    Study Notes

    Acute Myeloid Leukemia (AML)

    • Primarily affects adults and arises from myeloid precursors.
    • Associated with genetic mutations such as t(8;21)(q22;q22) resulting in the RUNX1-RUNX1T1 fusion.
    • Characterized by an accumulation of immature myeloblasts.

    AML with t(8;21)(q22;q22)

    • Predominantly affects children and presents with the RUNX1-RUNX1T1 mutation.
    • Histologically, shows large blasts, Auer rods, and granules indicating abnormal myeloid differentiation.

    AML with inv(16)(p13.1;q22)

    • Occurs mainly in adults and involves the fusion of CBFB with MYH11.
    • Histological features include myeloblasts, monoblasts, and eosinophil precursors.
    • Poor prognostic indicators include high initial white blood cell (WBC) counts and KIT mutations.

    Acute Promyelocytic Leukemia (APL)

    • Characterized by the t(15;17)(q22;a12) translocation affecting the retinoic acid receptor-alpha.
    • Histology reveals abnormal promyelocytes with Auer bodies, also known as "faggot cells."
    • Clinical complications may include decreased WBC counts and disseminated intravascular coagulation (DIC).

    Myelodysplastic Syndromes

    • Features abnormal blood cell formation leading to ineffective hematopoiesis.
    • Histological markers include dimorphic red blood cells, ringed sideroblasts, nuclear budding, and pseudo Pelger-Huet cells.
    • Symptoms are often related to cytopenias and defective platelet aggregation, causing bleeding and infection risks.

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    Description

    This quiz explores the essential aspects of Acute Myeloid Leukemia (AML), including its characteristics in adults and children, genetic mutations like t(8;21), and histological features. Test your knowledge on myeloid precursors, treatment implications, and associated histological images.

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