Leukemias
Lymphomas
Genetics
Blood Smears
100

This plasma cell malignancy presents with CRAB findings, rouleaux formation, and a monoclonal (M) protein spike.

Multiple Myeloma

100

This lymphoma is characterized by Reed-Sternberg cells and often presents with painless cervical lymphadenopathy.

Hodgkin Lymphoma


100

The Philadelphia chromosome results from this translocation and produces the BCR-ABL fusion protein.

t(9;22)

100

These needle-shaped azurophilic inclusions are found in myeloblasts in AML.

Auer rods

200

This JAK2-mutated myeloproliferative neoplasm causes aquagenic pruritus, erythromelalgia, and elevated hematocrit.

Polycythemia Vera

200

This aggressive B-cell lymphoma demonstrates a "starry-sky" appearance and is associated with EBV infection.

Burkitt Lymphoma

200

This translocation activates the MYC oncogene in Burkitt lymphoma.

t(8;14)

200

These fragile, disrupted lymphocytes are commonly seen on peripheral smear in CLL.

Smudge cells

300

This acute leukemia is the most common leukemia in children and is TdT+, CD10+.

Acute Lymphoblastic Leukemia (ALL)

300

This indolent lymphoma is characterized by painless generalized lymphadenopathy and overexpression of BCL2.

Follicular Lymphoma



300

This translocation causes overexpression of BCL2 and prevents apoptosis.

t(14;18)

300

Leukocytosis with basophilia, eosinophilia, and a low leukocyte alkaline phosphatase (LAP) score is classic for this leukemia.

Chronic Myeloid Leukemia (CML)

400

This AML subtype is associated with disseminated intravascular coagulation (DIC) and is treated with all-trans retinoic acid (ATRA).

Acute Promyelocytic Leukemia

400

This extranodal marginal zone lymphoma is associated with Helicobacter pylori infection and may regress after eradication therapy.

MALT Lymphoma

400

This translocation creates the PML-RARA fusion protein and blocks myeloid differentiation.

t(15;17)

400

Tear-drop cells (dacrocytes), splenomegaly, and a "dry tap" on bone marrow biopsy are characteristic of this disease.

Primary Myelofibrosis

500

This leukemia is associated with smudge cells and expresses CD5 and CD23.

Chronic Lymphocytic Leukemia (CLL)

500

This lymphoma is CD5+, Cyclin D1+, and often presents with gastrointestinal polyps.

Mantle Cell Lymphoma

500

This translocation causes Cyclin D1 overexpression and is characteristic of mantle cell lymphoma.

t(11;14)

500

This oncologic emergency occurs when very high white blood cell counts impair microvascular blood flow, leading to respiratory and neurologic symptoms.

Leukostasis

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