ABC of Clinical Haematology, 3rd Edition (ABC Series) by Drew Provan

By Drew Provan

This ABC has verified itself as a favored advent to scientific Haematology, proper either for postgraduate scholars and first care practitioners. Now in its 3rd version, the ABC of medical Haematology has been completely revised, that includes the most recent remedies for leukemia, antithrombotics and medicine for lymphoma and protecting the newest advances in hematology and bone marrow transplantation. With every one bankruptcy written by way of experts of their respective fields, this is often a terrific simple textual content for common perform and health facility employees with sufferers who've blood comparable difficulties, particularly GPs, hematology nurses, junior medical professionals, hematologists, and trainees in hematology.

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Additional resources for ABC of Clinical Haematology, 3rd Edition (ABC Series)

Example text

The remaining onethird of patients move abruptly from chronic phase to an acute blastic phase (or blastic crisis) without an intervening phase of acceleration. Pathogenesis All leukaemia cells in patients with CML contain a specific cytogenetic marker, described originally in 1960 by workers in Philadelphia, and thus known as the Philadelphia or Ph chromosome (Fig. 1). The Ph chromosome is derived from a normal 22 chromosome that has lost part of its long arm as a result of a balanced reciprocal translocation of chromosomal material involving one of each pair of chromosomes 9 and 22; thus the translocation is t(9;22)(q34;q11).

1). Such decisions are clearly complex and must be taken in careful consultation with the patients and their families. 1 Predicted outcome in patients with acute leukaemia according to age and subtype Type Survival at 5 years Childhood ALL Adult ALL Childhood AML AML (< 55 years) AML (> 55 years) AML > 55 years with poor risk karyotype APL 70–80% 30–40% 60% 40% 15% <5% 80% ALL, acute lymphoblastic leukaemia; AML, acute myeloid leukaemia; APL, acute promyelocytic leukaemia. Supportive care Treatment and prevention of the complications caused by neutropenia and thrombocytopenia are vital both at diagnosis and during intensive treatment of acute leukaemia.

Hughes TP, Kaeda J, Branford S et al. Frequency of major molecular responses to imatinib or interferon alfa plus cytarabine in newly diagnosed chronic myeloid leukemia. New England Journal of Medicine 2003; 349: 1421–30. O’Brien SG, Guilhot F, Larson RA et al. Interferon and low dose cytarabine compared with imatinib for newly diagnosed chronic phase chronic myeloid leukemia. New England Journal of Medicine 2003; 348: 994–1004. Sawyers C. Chronic myeloid leukemia. New England Journal of Medicine 1999; 340: 1330–40.

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