Hematology: Lymphoma Overview
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Questions and Answers

What are lymphomas?

Lymphomas are a group of diseases caused by malignant lymphocytes that accumulate in lymph nodes and cause the characteristic clinical features of lymphadenopathy.

What are the two main types of lymphoma?

  • Leukemia
  • Hodgkin's lymphoma (correct)
  • Myeloma
  • Non-Hodgkin's lymphoma (correct)
  • What is the main difference between Hodgkin's and Non-Hodgkin's lymphoma?

    Hodgkin's lymphoma is characterized by the presence of Reed-Sternberg cells, while Non-Hodgkin's lymphoma does not.

    What histological subtype of Hodgkin's disease is characterized by collagen bands and lacunar cells?

    <p>Nodular Sclerosis</p> Signup and view all the answers

    Which of these is NOT a clinical symptom of Hodgkin's lymphoma?

    <p>Painless, non-tender, asymmetrical, firm, discrete, and rubbery enlargement of superficial lymph nodes</p> Signup and view all the answers

    Hodgkin's lymphoma typically arises in a single node or chain of nodes and spreads characteristically to contiguous lymph nodes.

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

    What type of lymphoma is characterized by large cells with prominent nucleoli that efface nodal architecture?

    <p>Diffuse large B cell lymphoma</p> Signup and view all the answers

    What type of lymphoma is characterized by a "starry sky" appearance?

    <p>Burkitt's Lymphoma</p> Signup and view all the answers

    What is the predominant feature of myelofibrosis?

    <p>Progressive generalized reactive fibrosis of the bone marrow.</p> Signup and view all the answers

    What is the blood film in myelofibrosis characterized by?

    <p>Tear drop cells</p> Signup and view all the answers

    What is the main characteristic of essential thrombocythemia?

    <p>A persistently elevated platelet count greater than 450,000/μL.</p> Signup and view all the answers

    Polycythemia Vera is a clonal stem cell disorder characterized by increased red cell production.

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

    Study Notes

    Hematology

    • Hematology is the study of blood and blood disorders.
    • Lymphomas are diseases caused by malignant lymphocytes accumulating in lymph nodes.
    • Lymphadenopathy is a characteristic feature of lymphomas, often accompanied by splenomegaly
    • Lymphomas are divided into Hodgkin's and Non-Hodgkin's lymphomas.
    • Hodgkin's lymphoma is characterized by Reed-Sternberg (RS) cells.
    • RS cells are large, binucleated, with a clear halo surrounding the nucleus.
    • Hodgkin's lymphoma subtypes include nodular sclerosis, mixed cellularity, lymphocyte-rich, and lymphocyte-depleted.
    • Lymph node architecture is often effaced by large cells in Non-Hodgkin lymphomas.
    • Non-Hodgkin's lymphomas include Burkitt's lymphoma and diffuse large B-cell lymphoma.
    • Burkitt's lymphoma is characterized by a high mitotic rate, typically affecting children and young adults.
    • Diffuse large B-cell lymphoma is characterized by large cells with prominent nucleoli and open chromatin.
    • Reactive nodular hyperplasia is a reactive lymphoid tissue response.
    • Reactive hyperplasia is often characterized by lymphoid follicles with germinal centers.
    • Essential thrombocytosis is a chronic myeloproliferative neoplasm, characterized by a persistently elevated platelet count

    Myeloproliferative Neoplasms

    • Myeloproliferative disorders involve uncontrolled proliferation of blood-forming cells.
    • These include Polycythemia vera (PV), essential thrombocythemia (ET), and myelofibrosis (MF).
    • Polycythemia vera is associated with increased red blood cell production, and often presents with elevated Hb and Hct levels.
    • Essential thrombocythemia is characterized by an elevated platelet count.
    • Myelofibrosis features bone marrow fibrosis along with extramedullary hematopoiesis in organs such as the spleen and liver.
    • Myelofibrosis may exhibit peripheral blood changes such as leukoerythroblastosis.
    • Clinical features of these disorders may include fatigue, splenomegaly, thrombosis, or pruritus.
    • Laboratory findings may vary.
    • Molecular analysis often reveals mutations in genes like JAK2, CALR, and MPL.
    • Bone marrow analysis shows characteristic features for each condition

    Diagnostic Approach

    • Clinical evaluation is crucial in diagnosing blood disorders. These include thorough history taking and physical examination.
    • Laboratory tests, such as complete blood counts (CBC), blood chemistry studies, and bone marrow biopsies aid diagnosis.
    • Imaging with PET/CT can be used to determine spread of disease.

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    Description

    This quiz covers key concepts in hematology, focusing on lymphomas. You'll learn about Hodgkin's and Non-Hodgkin's lymphomas, their characteristics, and subtypes such as Burkitt's lymphoma. Test your knowledge on the features and classification of these blood disorders.

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