AML Classification Overview and FAB Classification
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Questions and Answers

If the AML is related to previous treatment, what do you call it?

Therapy related AML

What is the term for AML in a patient with Down Syndrome?

DS-related AML

What are the 4 named chromosomal abnormalities associated with AML?

t(8;21), t(15;17), t(4;11), inv(16)

If there is dysplasia, prior MDS, or MDS-related mutation, what do you call it?

<p>AML with MDS related changes</p> Signup and view all the answers

How do you classify AML if there is no major WHO category it fits into?

<p>AML NOS with FAB classification</p> Signup and view all the answers

What does M0 represent in AML?

<p>AML without differentiation</p> Signup and view all the answers

What does M1 represent in AML?

<p>AML with minimal differentiation</p> Signup and view all the answers

What does M2 represent in AML?

<p>AML with differentiation</p> Signup and view all the answers

M2 is associated with what translocation?

<p>t(8;21) (AML1-ETO)</p> Signup and view all the answers

What is the appearance of M2 blasts?

<p>Auer rods and chloromas</p> Signup and view all the answers

What does M3 represent in AML?

<p>Acute promyelocytic leukemia (APML)</p> Signup and view all the answers

M3 is associated with what translocation?

<p>t(15;17); PML-RARA translocation</p> Signup and view all the answers

How do M3 cells appear?

<p>Basket cells, full of granules and rods</p> Signup and view all the answers

What does M3v represent?

<p>M3 microgranular variant, O/W no difference from M3</p> Signup and view all the answers

What does M4 represent in AML?

<p>Acute myelomonocytic leukemia</p> Signup and view all the answers

What does M4eo stand for?

<p>AMML with eosinophilic precursors full of basophilic granules; inv(16)</p> Signup and view all the answers

What does M5 represent in AML?

<p>Acute monocytic leukemia</p> Signup and view all the answers

How does infant t(4;11) look on FAB system?

<p>M4 or M5 typically</p> Signup and view all the answers

How does M5 present?

<p>Gingival hyperplasia, chloroma involved, CNS involved</p> Signup and view all the answers

What does M6 represent in AML?

<p>Erythroblastic leukemia</p> Signup and view all the answers

What does M7 represent in AML?

<p>Acute Megakaryocytic leukemia (AMKL)</p> Signup and view all the answers

What is M7 in Downs related to?

<p>Gata-1</p> Signup and view all the answers

What does M7 in non-downs represent?

<p>t(1;22)</p> Signup and view all the answers

Flashcards

Therapy-related AML

AML occurring after previous cancer treatment.

DS-related AML

AML in patients with Down Syndrome.

Chromosomal Abnormalities in AML

t(8;21), t(15;17), t(4;11), inv(16)

AML with MDS-related changes

AML with signs of bone marrow dysplasia, previous MDS, or MDS-related mutations.

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AML NOS

AML that doesn't fit into the major WHO categories.

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M0 AML

AML without any differentiation.

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M1 AML

AML with minimal differentiation.

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M2 AML

AML with differentiation.

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M2 Translocation

The t(8;21) translocation, causing the fusion of AML1 and ETO genes.

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M2 Blast Appearance

Auer rods and chloroma formation.

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M3 AML

Acute promyelocytic leukemia (APML)

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M3 Translocation

t(15;17), PML-RARA translocation.

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M3 Cell Appearance

M3 cells with abundant granules and rods, resembling a basket.

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M3v AML

Microgranular variant of M3 AML.

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M4 AML

Acute myelomonocytic leukemia.

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M4eo AML

AML with eosinophilic precursors and many basophilic granules, often related to inv(16) translocation.

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M5 AML

Acute monocytic leukemia.

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Infant t(4;11) FAB Classification

M4 or M5, depending on the dominance of myeloblasts or monoblasts.

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M5 Presentation

Gingival hyperplasia, chloroma formation, and CNS involvement.

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M6 AML

Erythroblastic leukemia.

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M7 AML

Acute Megakaryocytic leukemia (AMKL).

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M7 AML in Down Syndrome

Associated with GATA-1 mutations.

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M7 AML in Non-Down Syndrome

Often associated with the t(1;22) translocation.

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Study Notes

AML Classification Overview

  • Therapy-related Acute Myeloid Leukemia (AML) arises from previous treatments.
  • Down Syndrome-related AML is specific to patients with Down Syndrome.
  • Four significant chromosomal abnormalities in AML:
    • t(8;21)
    • t(15;17)
    • t(4;11)
    • inv(16)
  • No minimum blast count is necessary for the above chromosomal abnormalities.
  • AML with Myelodysplastic Syndrome (MDS) related changes indicates a history of dysplasia or MDS mutations.
  • If AML does not fit major WHO categories, it is classified as AML Not Otherwise Specified (NOS) under FAB classification.

FAB Classification of AML

  • M0:

    • AML without differentiation; hard to distinguish from Acute Lymphoblastic Leukemia (ALL).
    • Markers: CD 13+, 33+, 117+ (c-kit); absence of lymphoid differentiation.
  • M1:

    • Minimal differentiation with myeloperoxidase positivity (MPO+).
  • M2:

    • Exhibits differentiation.
    • Associated with translocation t(8;21) (AML1-ETO).
    • Blasts show Auer rods and chloromas.
  • M3 (Acute Promyelocytic Leukemia - APML):

    • Linked to t(15;17) PML-RARA translocation.
    • Cells demonstrate basket appearance full of granules and rods.
  • M3v:

    • Microgranular variant of M3 with no significant differences from M3.
  • M4:

    • Acute myelomonocytic leukemia, characterized by at least 20% myeloblasts and common peripheral monocytosis.
  • M4eo:

    • Acute myelomonocytic leukemia with eosinophilic precursors, identified by inv(16).
  • M5:

    • Acute monocytic leukemia presents with gingival hyperplasia, chloroma involvement, and central nervous system (CNS) consequences.
  • Infant t(4;11):

    • Typically categorized under M4 or M5 in the FAB system.
  • M6:

    • Known as erythroblastic leukemia.
  • M7 (Acute Megakaryocytic Leukemia - AMKL):

    • In Down syndrome patients, characterized by Gata-1 mutation.
    • In non-Down syndrome patients, associated with translocation t(1;22).

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Description

This quiz covers the classification of Acute Myeloid Leukemia (AML), including therapy-related AML, Down Syndrome-related AML, and the FAB classification system. It highlights significant chromosomal abnormalities and specific subtypes of AML. Test your knowledge on these critical aspects of AML recognition and classification.

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