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CHAPTER 21  ■  Acute Leukemias                         389




                                                                                                                                      m          mm                         k  m

                                                                                                                                            m                   ,                                        m        -

                                                                                                                                                  m                                  . T                m     :   m

                                                                                                                                             FAB  M          :  .  T     m                            m          .

                                                                                                                               m                               .



                                                                                                                               Clinical Signs and Sym ptom s


                                                                                                                               FAB M                      z

                                                                                                                                      m           m                                   . T                m

                                                                                                                                                         ,                ,            ,                                    .

                                                                                                                               P              x  m            m                                                    ,

                                                                                                                                                                            m;                 m          m  m-

                                                                                                                                        ;                 ;                    . A

                                                                                                                               m                               m        ,            m        ,             m          -
                   FIGURE  21.3  A         m                 k  m     M  .  (R                   m                                         ;              ,          x m             %                    x

                   M  C             KD. Clinical Laboratory Medicine,            , P                  ,                                 m                m                     .

                   PA: L               W      m  & W  k    ,         ,             m        .)
                                                                                                                                    C                                                         m             AML

                                                                                                                                  m                  ALL.  O                       z        m     m
                         m      m      k                                                          M                                               m               m

                                . M                                    m      k                     k  -                                               AML. I               m    ,

                   m    . M                                                                                                    q                            z  m   MPO

                                     k  m     (             .  ).
                                                                                                                                                         . T                   m                               chlo-

                                                                                                                               roma. I      m           ,                                           m
                   FAB M0
                                                                                                                                                  AML.

                   FAB M                 m                   WHO                          AML

                                                    z     (NOS) (F   .     .  ). T                                             Laboratory Data

                         m                        (         x m         %                                                      A    m                 m                                                    x m

                         AML)                                                                                                    %          AML . L    k                                         m

                                             . P                                                                                                             ,                          k

                       m                                        m                                  k  m                                                  ×     /L.

                                                   m              . AML, m    m                  -                                  T                               m                                  x        m

                            ,                                m                                 . T    m                         mm                            ,                 m          mm

                                                       m                     mm                 m   k-                             m                     k  m   . I

                              /                                     .  Imm                                                                 m                            m        mm            m              -

                              . E                         m                                      z                                 ,            k  m                                       k m    (FAB M  ).

                        m   ,                    ,             m                    . T       m                                     T                                                                               m

                        k                                                               m                  .                   (F   .     .  )                 m                           m                    %

                        Am                           m      m                k  m   ,    m       m                                % m               . T                                                           -

                        m         mm                     . W                                                                        m                      m                             ,      -             Auer

                                              ,                              ,       AML               -

                           , FAB M                               x m             %                   .

                   M          M                                         m  j                             .

                   T               mm                           FAB M          FAB M    .




                   Acute Myeloid Leukemia (FAB M1)



                   T   WHO            m                                         m             -

                             k  m                m              . T        m          k  m





                                                Examples of Monoclonal Antibody
                       TABLE         21.8
                                                Classi  cation of Acute Leukemias




                       Myeloid lineage                              CD13, CD3, CD15, MPO, CD117

                       T-cell lineage                               CD2, CD3, CD5, CD7


                       B-cell lineage                               CD19, CD20, CD22, CD79a                                    FIGURE  21.4  A         m                 k  m     M  .  (R                   m
                                                                                                                               M  C             KD. Clinical Laboratory Medicine,            , P                  ,
                       Megakaryoblastic                             CD41, CD61
                                                                                                                               PA: L               W      m  & W  k    ,         ,             m        .)
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