PATH 179 LO 5

Question 1

What is Leukemia?

Answer 1

affects white blood cells. 2 types based on site of malignancy

Question 2

what is myelocytic?

Answer 2

cancer of bone marrow

Question 3

What leukemia is most common in adults?

Answer 3

AML

Question 4

What is lymphatic?

Answer 4

malignancy of lymph nodes

Question 5

what leukemia is most common in children?

Answer 5

ALL

Question 6

What is the signs and symptoms of leukemia?

Answer 6

• high fever
• Bleeding (lack of platelets)
• Brusing
• weakness, chills, SOB
• Spleen and liver are enlarged

Question 7

What is the rad appearance for leukemia?

Answer 7

• in childhood leukemia: appears as a radiolucent band at metaphysis, usually aout the knees, ankles, wrist
• Progression may cause patchy lytic lesions, moth-eaten appearance, cortical erosion
• Vertebral compression fractures
• Mediastinal enlargement from lymph modes

Question 8

What is the treatment for leukemia?

Answer 8

Multi-drug chemotherpahy, bone marrow transplant, antibiotics, transfusions

Question 9

what is lymphoma?

Answer 9

neoplasms of the lymphoreticular system: lymph nodes, spleen, lymphoid tissues of parenchymal organs of GI, lung and skin

Question 10

What are the 2 different lymphomas?

Answer 10

Hodgkins: 90% originate in lymph nodes

Non-hodgkins: most originate in parenchymal organns (GI tract, lung and skin), some originate outside nodes

Question 11

What are signs and symptoms of lymphoma?

Answer 11

• swelling
• persistant fever
• Night sweats
• Fatigue weight loss and malaise

Question 12

What is the radiograpgic appearance in the lung for lymphoma?

Answer 12

mediastinal lymph node enlargement is most common finding on film: bilateral but asymmetric

Question 13

What is the radiographic appearance in the gastric for lymphoma?

Answer 13

• large bulky polypoid mass, irregular and ulcerated

- Other finings may include: ulcers, splenomegaly, prominence of lymph nodes, thickening and distortion or rugal folds

Question 14

What is the radiographic appearance in the bone for lymphoma?

Answer 14

• eroison, usually of upper lumbar and lower thoracic
• Mottled pattern of destructon and sclerosis - appear as mets
• Dense vertebral sclerosis in hogkins disease

Question 15

What is the radiographic appearance in the kidney for lymphoma?

Answer 15

• enlargement with distortion, enlongation and compression of calyces
• Nodules or masses may displace the kidney - may even oliterate one of the psoas margins CT/Us first, MRI pistron emission tomography.

Question 16

What is the treatment for lymphoma?

Answer 16

CT, RT, possible hormone theraphy if neoplasm started in glandular tissue
-Bone marrow transplant may be required

Question 17

What is infectiois monomnucleoosis?

Answer 17

• viral disease

- Increased atypical lymphocytes

Question 18

What are the signs and symptoms of mono

Answer 18

mild fever, fatigue, sore throat

Question 19

What is the rad appearance for mono?

Answer 19

• lymphadenopathy and splenomegaly
• Hilar lymph node enlargemet
• Enlargement of hilar lymph nodes bilaterally