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Questions and Answers

Which condition is characterized by decreased cellularity of the marrow?

  • Acute Idiopathic Neutropenia (correct)
  • Large Granular Lymphocyte Leukemia
  • Leukocytosis
  • Megaloblastic Anemia
  • What are toxic granulations primarily indicative of in neutrophils?

  • Normal functioning neutrophils
  • Reduction in secondary granules
  • Presence of abnormal primary granules (correct)
  • Response to chronic infections
  • What is a common consequence of agranulocytosis?

  • Increased platelet count
  • Elevated hemoglobin levels
  • Ulcerating necrotizing lesions of the mucosa (correct)
  • Increased eosinophils
  • Which finding is characteristic of Dohle bodies in neutrophils?

    <p>Patches of dilated endoplasmic reticulum (D)</p> Signup and view all the answers

    Which cytokine is specifically responsible for the growth of neutrophils?

    <p>G-CSF (D)</p> Signup and view all the answers

    In what condition are large reactive germinal centers prominent in lymph nodes?

    <p>Chronic nonspecific lymphadenitis (D)</p> Signup and view all the answers

    In severe inflammatory disorders, what triggers the increase in white blood cell proliferation?

    <p>Release of TNF and IL1 (D)</p> Signup and view all the answers

    What typically causes chronic nonspecific lymphadenitis?

    <p>Trivial injuries in extremities (C)</p> Signup and view all the answers

    What agents can suppress granulocyte precursors leading to agranulocytosis?

    <p>Autoantibodies (D)</p> Signup and view all the answers

    Which is a common finding in acute nonspecific lymphadenitis?

    <p>Swollen grey-red lymph nodes (B)</p> Signup and view all the answers

    Which type of leukemia is characterized by severe neutropenia associated with monoclonal LGL?

    <p>Large Granular Lymphocyte Leukemia (D)</p> Signup and view all the answers

    What is a likely microscopic feature of macrophages in acute nonspecific lymphadenitis?

    <p>Presence of necrotic cells (C)</p> Signup and view all the answers

    During acute infections, what type of lymphadenitis is most commonly observed?

    <p>Acute Nonspecific Lymphadenitis (D)</p> Signup and view all the answers

    What is the primary mechanism leading to leukocytosis in response to an acute infection?

    <p>Stimulation of hematopoietic growth factors (C)</p> Signup and view all the answers

    What is often characteristic of lymphadenopathy due to systemic viral infections?

    <p>Generalized swelling of lymph nodes (A)</p> Signup and view all the answers

    What laboratory finding is associated with acute appendicitis in lymph nodes?

    <p>Presence of mesenteric lymph node involvement (D)</p> Signup and view all the answers

    What is a characteristic feature of activated T cells in acute viral infections?

    <p>3-4 times the size of resting lymphocytes (B)</p> Signup and view all the answers

    Which symptom is NOT commonly associated with Hemophagocytic Lymphohistiocytosis (HLH)?

    <p>Nausea and vomiting (C)</p> Signup and view all the answers

    What is a common trigger for Hemophagocytic Lymphohistiocytosis (HLH)?

    <p>Epstein-Barr Virus (EBV) (C)</p> Signup and view all the answers

    In which type of neoplasms is myelodysplastic syndromes categorized?

    <p>Myeloid neoplasms (B)</p> Signup and view all the answers

    Which of the following is NOT a clinical presentation of lymphoid neoplasms?

    <p>Acute febrile illness (C)</p> Signup and view all the answers

    Which of the following is a characteristic of myeloproliferative neoplasms?

    <p>Increased production of one or more terminally differentiated myeloid elements (B)</p> Signup and view all the answers

    What role do mutations affecting CD8+ T cells and NK cells play in HLH?

    <p>They may be involved in hemophagocytosis and immune dysregulation (C)</p> Signup and view all the answers

    Which of the following cancers is specifically mentioned as having a prominent effect on lymph nodes in terms of HLH?

    <p>Breast cancer (A)</p> Signup and view all the answers

    Which lab finding is NOT typically associated with HLH?

    <p>Hyperglycemia (D)</p> Signup and view all the answers

    What type of neoplasm is characterized by a proliferation presenting as discrete tissue masses?

    <p>Lymphoma (A)</p> Signup and view all the answers

    Which chromosomal abnormalities are known to be associated with WBC neoplasms?

    <p>Chromosomal translocations and acquired mutations (B)</p> Signup and view all the answers

    What is the primary effect of cytokines released during HLH?

    <p>Suppression of hematopoiesis (D)</p> Signup and view all the answers

    Which condition may be triggered by chronic inflammation according to the presented information?

    <p>Hemophagocytic Lymphohistiocytosis (B)</p> Signup and view all the answers

    What is a common clinical presentation of Diffuse Large B-cell Lymphoma?

    <p>Rapidly enlarging mass (C)</p> Signup and view all the answers

    Which translocation is primarily associated with Burkitt Lymphoma?

    <p>t(8;14) (D)</p> Signup and view all the answers

    What is the most defining morphological characteristic of Burkitt Lymphoma?

    <p>Starry sky appearance (A)</p> Signup and view all the answers

    Which of the following markers is consistently expressed in Diffuse Large B-cell Lymphoma?

    <p>CD20 (A)</p> Signup and view all the answers

    In Mantle Cell Lymphoma, which genetic alteration is most commonly found?

    <p>t(11;14) (D)</p> Signup and view all the answers

    What age group is primarily affected by Burkitt Lymphoma?

    <p>Children and young adults (D)</p> Signup and view all the answers

    Which feature is NOT characteristic of Mantle Cell Lymphoma?

    <p>High mitotic index (C)</p> Signup and view all the answers

    Which immunophenotype marker is typically not expressed in Burkitt Lymphoma?

    <p>BCL2 (A)</p> Signup and view all the answers

    Which lymphoid neoplasm commonly exhibits splenic white pulp involvement?

    <p>Diffuse Large B-cell Lymphoma (A)</p> Signup and view all the answers

    What cytological feature distinguishes Centroblasts in Diffuse Large B-cell Lymphoma?

    <p>Large prominent nucleoli (B)</p> Signup and view all the answers

    What syndromic medical condition increases the risk of Mantle Cell Lymphoma?

    <p>T-cell immunodeficiency (B)</p> Signup and view all the answers

    Which marker is associated with germinal center and is typically expressed in both Diffuse Large B-cell and Burkitt Lymphomas?

    <p>CD10 (D)</p> Signup and view all the answers

    What symptom is NOT typically associated with Marginal Zone Lymphoma?

    <p>Localized pain (C)</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with Chronic Inflammatory Disorders?

    <p>Originate from infection with acute viral pathogens (A)</p> Signup and view all the answers

    What is the most common symptom of Hairy Cell Leukemia?

    <p>Massive splenomegaly (D)</p> Signup and view all the answers

    Which immunophenotype marker is unique to Hairy Cell Leukemia?

    <p>CD25 (C)</p> Signup and view all the answers

    In Hairy Cell Leukemia, which microscopy technique is best for observing fine hair-like projections?

    <p>Phase Contrast Microscopy (C)</p> Signup and view all the answers

    Which factor is NOT related to the pathogenesis of Hairy Cell Leukemia?

    <p>Age above 60 (C)</p> Signup and view all the answers

    What type of cellular change is observed in the bone marrow during Hairy Cell Leukemia?

    <p>Reniform or oblong nuclei enmeshed in extracellular matrix (C)</p> Signup and view all the answers

    Which of the following is a common phenomenon observed with Chronic Inflammatory Disorders?

    <p>Acquisition of mutations leading to DLBCL over time (B)</p> Signup and view all the answers

    Which markers are typically expressed by Peripheral T-cell Lymphoma, Unspecified?

    <p>CD2 and CD3 (C)</p> Signup and view all the answers

    What characterizes the white pulp and red pulp in the spleen of patients with Hairy Cell Leukemia?

    <p>Obliteration of white pulp with infiltration of red pulp (B)</p> Signup and view all the answers

    In Hairy Cell Leukemia, what common laboratory finding is directly related to the disease's impact on the blood?

    <p>Monocytopenia leading to increased infection risk (C)</p> Signup and view all the answers

    What genetic alteration is most commonly associated with Chronic Myeloid Leukemia?

    <p>Philadelphia chromosome translocation (9;22) (C)</p> Signup and view all the answers

    Which clinical feature is most characteristic of Polycythemia Vera?

    <p>Hyperuricemia (C)</p> Signup and view all the answers

    What is the primary cause of extramedullary hematopoiesis in Primary Myelofibrosis?

    <p>Obliteration of the marrow space (B)</p> Signup and view all the answers

    What symptom is characteristic of Essential Thrombocytosis?

    <p>Throbbing and burning pain in extremities (D)</p> Signup and view all the answers

    Which pathology is indicated by the presence of large dysplastic megakaryocytes?

    <p>Essential Thrombocytosis (D)</p> Signup and view all the answers

    What describes the pathophysiology of Langerhans Cell Histiocytosis?

    <p>Proliferation of dendritic cells or macrophages (C)</p> Signup and view all the answers

    Which mutation is most commonly associated with Essential Thrombocytosis?

    <p>JAK2 V617F (D)</p> Signup and view all the answers

    What underlying mechanism leads to hypercellularity in Polycythemia Vera?

    <p>Growth factor receptor signaling (C)</p> Signup and view all the answers

    What is a common laboratory finding in Primary Myelofibrosis?

    <p>Normochromic normocytic anemia (A)</p> Signup and view all the answers

    In which condition is splenomegaly primarily a result of extramedullary hematopoiesis?

    <p>Primary Myelofibrosis (C)</p> Signup and view all the answers

    What type of Langerhans Cell Histiocytosis typically presents before 2 years of age?

    <p>Multifocal Multisystem Langerhans Cell Histiocytosis (B)</p> Signup and view all the answers

    Which condition is associated with a spent phase characterized by extensive marrow fibrosis?

    <p>Polycythemia Vera (A)</p> Signup and view all the answers

    What finding in blood tests could indicate a risk of thrombosis in Essential Thrombocytosis?

    <p>Increased platelet counts (C)</p> Signup and view all the answers

    What is a precursor finding associated with myelofibrosis?

    <p>Dysplastic megakaryocytes (A)</p> Signup and view all the answers

    Flashcards

    Megaloblastic Anemia (MDS)

    A condition characterized by abnormal blood cell production and insufficient cell development, often in the bone marrow, leading to inadequate red blood cells.

    Acute Idiopathic Neutropenia

    A rapid onset of low neutrophil (a type of white blood cell) count with unknown cause.

    Agranulocytosis

    A significant reduction or absence of granulocytes (a type of white blood cell) in the blood, potentially due to medications.

    Large Granular Lymphocyte Leukemia

    A type of cancer characterized by an abnormal build-up of a specific type of white blood cell (lymphocyte).

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    Leukocytosis

    An excessively increased amount of white blood cells in the blood.

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    Acute infection

    Rapid onset infection.

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    Hypocellular marrow

    A bone marrow with decreased number of cells.

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    Acute Nonspecific Lymphadenitis

    Inflammation of lymph nodes, not linked to a specific source.

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    Kawasaki disease products

    Products found in infections of the teeth, tonsils, or extremities (axillary/inguinal) in Kawasaki disease.

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    Toxic granulations

    Coarser, darker granules in neutrophils, indicative of abnormal primary granules.

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    Dohle bodies

    Patches of dilated endoplasmic reticulum in neutrophils, appearing as blue cytoplasmic puddles.

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    Mesenteric lymph nodes

    Lymph nodes in the mesentery, seen in acute appendicitis or gut inflammation.

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    Chronic nonspecific lymphadenitis

    Nontender, slowly enlarging lymph nodes, common in inguinal/axillary nodes.

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    Macrophages in lymphadenitis

    Macrophages in lymph nodes contain particulate debris from dead bacteria and necrotic cells indicating an inflammatory process.

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    Follicularization in chronic infections

    Follicularization (formation of follicles) may be seen in extranodal tissues due to chronic infections.

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    CD23+

    B-cells originating from memory B-cells, commonly found in chronic inflammatory conditions like Helicobacter gastritis, Sjogren's Syndrome, and Hashimoto's thyroiditis. They persist in tissues for prolonged periods and can regress with the eradication of the inciting agent. However, they can also mutate and transform into aggressive DLBCL.

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    Hairy Cell Leukemia

    A rare type of leukemia primarily affecting middle-aged white males. It is characterized by the presence of leukemic cells with fine hair-like projections, best seen under phase contrast microscopy.

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    Hairy Cell Leukemia Morphology

    Leukemic cells in Hairy Cell Leukemia exhibit fine hair-like projections visible under phase contrast microscopy. Their nuclei are often round, oblong, or kidney-shaped (reniform), and their cytoplasm has a pale blue color.

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    Hairy Cell Leukemia Bone Marrow

    In Hairy Cell Leukemia, the bone marrow is infiltrated by leukemic cells, leading to a 'dry tap' - difficulty obtaining bone marrow aspirate due to thickened marrow.

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    Hairy Cell Leukemia Spleen

    Hairy Cell Leukemia typically causes massive splenomegaly. The white pulp of the spleen is obliterated, and the red pulp is infiltrated by leukemic cells.

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    Hairy Cell Leukemia Pathogenesis

    Hairy Cell Leukemia is often associated with activating point mutations in the BRAF gene, a serine/threonine kinase involved in cell signaling.

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    Hairy Cell Leukemia Clinical Features

    Hairy Cell Leukemia typically has an indolent course. The most common symptom is massive splenomegaly, along with pancytopenia (low blood cell counts) and a risk of atypical mycobacterial infections.

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    Peripheral T-cell Lymphoma, Unspecified

    A type of mature T-cell lymphoma with unknown subtype. It typically expresses CD2, CD3, CD5, and either αβ or γδ T-cell receptors.

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    What are the three characteristics of CD23+ cells?

    CD23+ cells are characteristically associated with chronic inflammatory disorders, persist in tissues for extended periods prior to systemic spread, and can regress if the inciting agent is eradicated. However, they can also mutate and transform into aggressive DLBCL.

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    Hemophagocytic Lymphohistiocytosis (HLH)

    A reactive condition marked by low blood cell counts and systemic inflammation due to macrophage activation.

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    HLH pathogenesis

    Macrophages and CD8+ T cells trigger phagocytosis of blood cells, releasing inflammatory mediators that suppress blood cell production and cause systemic inflammation.

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    HLH triggers

    Often EBV (Epstein-Barr virus) or T-cell lymphomas, with immune dysregulation.

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    HLH clinical presentation

    Acute fever, enlarged liver and spleen, cytopenias (low blood counts), increased inflammation markers, and potential complications.

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    Acute Viral Infections feature

    Characterized by the presence of immunoblasts and activated T cells.

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    Acute Myeloid Leukemia

    Cancer of the blood from immature progenitor cells in the bone marrow.

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    Myeloproliferative Neoplasm

    Increased production of terminally differentiated myeloid cells in the blood (increased counts).

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    Lymphoid Neoplasms

    Originate from cells of the lymphatic system: B-, T-, or Natural Killer cells.

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    Oncogenesis trigger

    Chromosomal translocations, acquired mutations, oncogene activation, and inherited genetic factors.

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    Hodgkin Lymphoma

    A type of lymphoma showing specific histological features.

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    Lymphoma vs Leukemia

    Lymphoma forms discrete tissue masses, whereas leukemia involves the bone marrow and/or blood.

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    Lymphoma Presentation

    Enlarged lymph nodes (2cm+) are a common presentation.

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    Myelodysplastic Syndromes

    Characterized by ineffective blood cell production and low blood counts.

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    Diffuse Large B-cell Lymphoma

    The most common form of Non-Hodgkin lymphoma, characterized by large, rapidly growing cells with a diffuse pattern.

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    Waldeyer Ring

    A ring of lymphoid tissue located in the back of the throat, often involved in Diffuse Large B-cell Lymphoma.

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    BCL6

    A gene that regulates B-cell development, often dysregulated in Diffuse Large B-cell Lymphoma.

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    BCL2

    A gene that prevents cell death, often overexpressed in Diffuse Large B-cell Lymphoma.

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    MYC

    A proto-oncogene involved in cell growth, often translocated in Diffuse Large B-cell Lymphoma, leading to overproduction of MYC protein.

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    Centrocytes

    Small cells with cleaved nuclei, found in normal lymph nodes.

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    Centroblasts

    Larger cells present during B-cell development, often in chronic lymphocytic leukemia (CLL/SLL).

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    Diffuse

    A pattern of growth in lymphoma where cells spread extensively.

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    Burkitt Lymphoma

    A very aggressive B-cell lymphoma characterized by a high mitotic rate and starry sky appearance.

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    Starry Sky Appearance

    A pattern in Burkitt Lymphoma where numerous apoptotic cells are phagocytosed by macrophages, giving a starry sky look.

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    Mantle Cell Lymphoma

    A type of B-cell lymphoma that often involves the mantle zone of lymph nodes.

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    Cyclin D1

    A protein involved in cell cycle regulation. Overexpression of Cyclin D1 is associated with Mantle Cell Lymphoma.

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    Marginal Zone Lymphoma

    A type of B-cell lymphoma that arises in marginal zones of lymph nodes and other tissues.

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    MALTomas

    A special type of Marginal Zone Lymphoma that often involves mucosal sites, like the stomach.

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    Philadelphia chromosome

    A specific chromosomal abnormality found in chronic myeloid leukemia (CML), resulting from a reciprocal translocation between chromosomes 9 and 22.

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    Chronic Myeloid Leukemia (CML)

    A type of blood cancer characterized by excessive production of white blood cells, specifically granulocytes.

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    Blast Crisis in CML

    An aggressive stage of chronic myeloid leukemia (CML) characterized by a high percentage of immature white blood cells (blasts) in the blood.

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    Polycythemia Vera

    A rare blood disorder characterized by an increase in red blood cells, white blood cells, and platelets (panmyelosis) due to increased bone marrow production.

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    Hyperuricemia in Polycythemia Vera

    Elevated uric acid levels in the blood, a common complication of polycythemia vera due to rapid cell turnover.

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    Essential Thrombocytosis

    A blood disorder marked by a significant increase in platelets due to a genetic mutation affecting JAK-STAT signaling.

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    Erythromyalgia in Essential Thrombocytosis

    A characteristic symptom of essential thrombocytosis involving throbbing and burning pain in the hands and feet due to small blood vessel occlusion.

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    Primary Myelofibrosis

    A rare blood disorder where excessive fibrosis (scarring) in the bone marrow leads to decreased blood cell production and symptoms like anemia and bleeding.

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    Extramedullary Hematopoiesis

    Blood cell production outside of the bone marrow, often seen in conditions like myelofibrosis and polycythemia vera.

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    Langerhans Cell Histiocytosis (LCH)

    A rare group of disorders characterized by the abnormal proliferation of Langerhans cells, a type of immune cell.

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    Letterer-Siwe Disease

    A severe, multisystemic form of Langerhans cell histiocytosis that typically presents in infants under two years old.

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    BRAF Mutation in LCH

    A common genetic mutation found in Langerhans cell histiocytosis, affecting the BRAF gene.

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    Eosinophilic Granuloma

    A less severe form of LCH affecting only one or a few organs, often the bones or skin.

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    Multifocal Unisystem LCH

    A form of Langerhans cell histiocytosis that affects multiple sites within a single organ system.

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    LCH Treatment

    Management often involves chemotherapy, radiation therapy, and/or surgery depending on the severity and location of the disease.

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    Study Notes

    Hematopoietic System

    • Composed of multiple cell types: myeloid (RBCs, granulocytes, monocytes) and lymphoid (thymus, lymph nodes, spleen)

    Normal Hematopoiesis

    • Yolk Sac: Initial site, blood cell progenitors appear during week 3 of embryonic development.
    • Liver: Chief hematopoietic site until shortly after birth.
    • Bone Marrow: Hematopoietic stem cells (HSCs) migrate to the bone marrow by the 4th month of development, becoming the primary site by birth.
    • Hematopoiesis occurs in various locations during fetal development; bone marrow becomes the primary site postnatally.

    Diseases of White Blood Cells, Lymph Nodes, Spleen, and Thymus

    • White Blood Cell Disorders: Can be categorized into proliferative (expansion of leukocytes) or leukopenias (deficiency of leukocytes).
    • Leukocytosis: Increased number of white blood cells (WBCs)
      • Acute infection is a common cause, due to cytokine release (TNF and IL1) stimulating increased WBC proliferation.
    • Leukopenia: Reduced number of specific types of white blood cells (e.g., neutropenia, granulocytopenia).
    • Drug toxicity is often the cause
    • Neutropenia & Agranulocytosis: Marked reduction of neutrophils
      • Causes include drug toxicity, sometimes idiopathic.
      • Infections are commonly associated with agranulocytosis.
    • Bone Marrow Morphology: Variations in the cellularity of the bone marrow can be indicative of different hematopoietic disorders.
    • Normal Bone Marrow: Megakaryocytes, lie adjacent to the sinusoids in the bone marrow, produce platelets. Red blood cell precursors and macrophages are also present.

    Acute Nonspecific Lymphadenitis, Chronic Nonspecific Lymphadenitis

    • Acute Nonspecific Lymphadenitis: Often due to infections of the teeth or tonsils (resulting in cervical adenopathy), extremities, or gut.
    • Chronic Nonspecific Lymphadenitis: Typically nontender and slowly enlarging, often related to ongoing infections.
    • Follicular Hyperplasia: Presence of secondary follicles with large germinal centers, surrounded by mantle zone B cells.
    • Histologic characteristics like germinal centers polarization are evident with dark and light zones.

    Acute Nonspecific and Chronic Lymphadenitis

    • Chronic Nonspecific Lymphadenitis: often involves follicles that are hyperplastic and can be differentiated from Follicular Lymphoma. Also presents with typical features of chronic inflammation (inflammatory cells diffusely scattered).

    Acute Nonspecific Lymphadenitis, Chronic Nonspecific Lymphadenitis and Lymphocytic Neoplasias

    • Acute Non-Specific Lymphadenitis: Swelling, redness, and tenderness often associated with acute infections.
    • Chronic Non-Specific Lymphadenitis: Generally painless and slowly enlarging, often related to persistent or chronic infections (e.g., HIV, TB).

    Hemophagocytic Lymphohistiocytosis (HLH)

    • Reactive condition: Characterized by cytopenias and signs of systemic inflammation.
    • Driven by macrophage activation
    • Often triggered by viral infections (e.g., EBV).

    WBC Neoplasms

    • Lymphoid neoplasms: originate from B-cells, T-cells or NK-cells.
    • Myeloid neoplasms: Arise from early hematopoietic progenitors.
    • There are several types of lymphomas and leukemias with different pathologies, presentation, and prognosis.

    Acute Lymphoblastic Leukemia/Lymphoma

    • Predominantly affects children.
    • Characterized by an accumulation of immature lymphocytes in the bone marrow.
    • Often presents with symptoms of bone marrow suppression (e.g., anemia, fatigue, infections, bleeding).

    Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

    • Primarily affects adults.
    • Characterized by an accumulation of small lymphocytes in the blood and bone marrow.
    • Often presents with nonspecific symptoms (e.g., fatigue, weakness), but also frequently observed as generalized lymphadenopathy.

    Follicular Lymphoma

    • Common indolent non-Hodgkin lymphoma.
    • Often characterized by the t(14;18) translocation, leading to BCL2 overexpression.
    • Typical presentation includes painless, enlarging lymph nodes.

    Diffuse Large B-cell Lymphoma

    • Most common form of non-Hodgkin lymphoma.
    • Characterized by large, atypical lymphocytes and a more aggressive clinical course compared to follicular lymphoma.

    Burkitt Lymphoma

    • Aggressive type of lymphoma.
    • Often characterized by the translocation of MYC gene.
    • Commonly presents as extranodal tumors; frequently in children or young adults, often presents with aggressive symptoms.

    Mantle Cell Lymphoma

    • Usually diagnosed in middle-aged adults.
    • Characterized by the t(11;14) translocation, leading to Cyclin D1 overexpression.
    • Common early presentation is painless lymphadenopathy.

    Hairy Cell Leukemia

    • Typically affects middle-aged men.
    • Characterized by the presence of hairy cells (distinct morphology).
    • Usually presents with pancytopenia (low blood counts) and often massive splenomegaly.

    Peripheral T-cell Lymphoma, Unspecified, Anaplastic Large-Cell Lymphoma

    • Primarily involves T-cells.
    • Often presents with generalized lymphadenopathy (enlarged lymph nodes).
    • Anaplastic large cell lymphoma presents typically with a marked cellular infiltration.

    Adult T-cell Leukemia/Lymphoma

    • Associated with the HTLV-1 retrovirus.
    • Can present with various clinical manifestations, including generalized lymphadenopathy, hepatosplenomegaly, and hypercalcemia.

    Mycosis Fungoides/Sezary Syndrome

    • Involves CD4+ T-cells that are frequently expressed initially at the skin.
    • Can become aggressive, spreading through the body.

    Extranodal NK/T-cell Lymphoma

    • Rare tumor; frequently involves extranodal, often nasopharyngeal regions.
    • Commonly associated with Epstein-Barr virus infection.

    Plasma Cell Neoplasms

    • Multiple myeloma: Malignant proliferation of plasma cells, often associated with lytic bone lesions, hypercalcemia, and renal failure. Frequently involving the medullary cavity.
    • Waldenström macroglobulinemia: Characterized by the production of IgM paraprotein, leading to hyperviscosity syndrome.
    • Heavy-chain disease: Characterized by the proliferation of plasma cells that produce abnormal immunoglobulins (either heavy chains or fragments).

    Myelodysplastic Syndromes

    • Group of clonal stem cell disorders.
    • Characterized by abnormal blood cell production, resulting in cytopenias (low blood counts).
    • Increased risk of transformation into acute myeloid leukemia.

    Myeloproliferative Neoplasms

    • Characterized by the increase of one or more types of blood cells.
    • Typically affect adults.

    Acute Myeloid Leukemia (AML)

    • Characterized by an accumulation of immature myeloid cells (blasts) in the bone marrow.
    • Presents with cytopenias (low blood counts)

    Chronic Myeloid Leukemia (CML)

    • Associated with a specific chromosomal translocation (Philadelphia chromosome).
    • Commonly presents with elevated white blood cell count and splenomegaly.

    Polycythemia Vera

    • Characterized by an increased production of red blood cells (erythrocytosis)

    Essential Thrombocytosis

    • Primarily a disorder of excessive platelet production

    Primary Myelofibrosis

    • Characterized by the presence of fibrosis in the bone marrow (bone marrow scarring).
    • Often associated with splenomegaly and extramedullary hematopoiesis.

    Langerhans Cell Histiocytosis

    • Proliferative disorders affecting Langerhans cells (dendritic cells).
    • Can involve multiple systems (skin, bone, lungs).

    Splenomegaly

    • Enlargement of the spleen.
    • Can indicate various potential issues: Infections, congestive conditions (e.g., portal hypertension), or hematopoietic disorders.

    Splenic Rupture

    • Usually caused by blunt trauma.

    Splenic Congenital Anomalies

    • Absence, hypoplasia, accessory spleens potentially impacting morphology and function.

    Thymus

    • Important in the development of T-lymphocytes.

    Thymic Hypoplasia, Thymic Cysts

    • Developmental disorders of the thymus

    Thymoma

    • Benign or malignant tumor of the thymus.

    Developmental Disorders of Thymus

    • Thymic developmental problems.

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    Description

    Test your knowledge on hematological conditions and immune disorders with this quiz. Explore topics ranging from neutrophil characteristics to lymphadenitis and leukemias. Perfect for students studying hematology or related medical fields.

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