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CHAPTER 20  ■  Characteristics of Leukemias, Lymphomas, and Myelomas                                          373




                   French-American-British Classi  cation                                                                                          m       ). S                 m         q             m


                   U             FAB        m,      k  m                                                                                                 .

                                 k                    :



                   ■   M                                                                                                       FAC  ORS RELA  ED   O   HE

                   ■   M                                                                                                       OCCURRENCE OF LEUKEMIA

                   ■   L  m


                        W                    m                                                                                 L    k  m                                                               q

                   m        ,                                                      m j                      -                  m                         m                        m           m        m     -

                   k                k  m                                                                                                                          . I                k            m

                                  k                    ,        x  m    ,                           m         -                                    x                                                                   -

                           ,                         m             ,                         m      -                          m        .  L    k  m         m

                   m              ,                                     m                    k  m    (CLL).                               -            ,                                         m          m

                        M              mm         m           k                k  m                                                                                                              m                     -

                                             (    m        ),                    ,                         .                               m        m               .

                   O                                                                   m      k                                     A                   m  j                                        k  m

                               ,                                 j                             m                                                           , m                                                    m    -

                                 k                 ,          x    .                                                                                                        k  m               m      m    (
                                                                                                                                            .  ). T


                   World Health Organization Classi  cation                                                                     .  G                   mm

                                                                                                                                .  O                      x
                   T                         (        )           WHO                             -

                                    m      m                                         : m          ,    m-                       .  E          m           x

                          ,                       /                     . C                                                     .  C    m                        x

                       m                          m                    m                mm      -                               .  G                    m

                                                                                                 ,                              .  V

                   m        ,           m                 m      .                                                              .  S

                        P                          m ,          x  m     ,             m                 k  -

                   m    ,    m                    m      m   /     k  m    ,                k  m                                 NOTE: This is a good time to complete Review Questions for

                         m                         ,                           m                                                 related preceding content.

                              m ,                                              m m      m              -

                        m ,          x  m    ,  m                                        m ,  m       -

                                 /m                                        m ,  m                                              Genetic and Immunological Factors

                             m   , m         (                ) B-                /NK             m ,                          M                                                           m                         k  m   ;

                   H      k   ’     m      m  ,                       /                                  m .                                                         m            m     m                     mm    .

                        T   m         m                       m                                                                S                              m     m                 m                  :

                                                                                             . W     m

                      m                       m ,

                                                        ,        m     x      ,

                                                      .                                                                                                     Potential Predisposing Factors
                                                                                                                                   TABLE         20.2       for the Development of

                                                                                                                                                            Leukemias and Lymphomas
                   PROGNOSIS AND   REA  MEN

                                                                                                                                                                 Benzene, Hydrocarbons, and
                   U                    k  m                 m      m                 m                 .                          Chemicals                     Hair Dyes

                   R

                                                  . T                                           ,        -                         Environmental                 Ionizing radiation, insecticides,

                                                                                       ,                                                                         herbicides, and fungicides

                                             .                                                                                     Drugs                         Alkylating agents and chloramphenicol

                        M                   ,                                  ,              m                                    Viruses                       Herpesvirus (EBV)

                       m                                                                     m

                                                                 m           m           k  m                                                                    Human immunode  ciency virus (HIV)

                      m      m  . I                          ,                                   m                                                               Human T-cell leukemia virus (HTLV-I)

                            m                                                                            ,                         Genetic                       Down’s syndrome

                    x  m     ,               m                       k m     (CML).  E                                             syndromes                     Fanconi’s anemia

                          m         q                                        m              m

                             m     . T      m          m                         m                                                 Hematologic                   Myelodysplastic syndromes

                                                 (            C                                                                    conditions
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