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CHAPTER 21  ■  Acute Leukemias                         401




                                                      m             ,         m                  m -                                                                                                   DNA.       (+)

                                       .                                                                                          m                                                  m

                                                                                                                                     m  j                                ALL       -        B-                   ,

                   Special Identi  cation Techniques                                                                            x             m             B-      ALL,

                                                                                                                                       m         m                              AML.                        -
                   S            m   k    ,                                     m  m                                                     m                   m                    m      m

                                                 mm                             ,           x    m                                                                   CML                   . I             -

                                                           ALL  (F   .      .    ).  D                  -                                       ,                   m   k

                                   x                                            m              ,                                                        m     .

                                 m                     m   k                                                                        T       mm     ALL              (  ALLA)                             -

                   m               (              .    ).      m             x                            -                                   m                       %                         ALL. CD

                              (      )                                     z  m                      z
                                                                                                                                x

                                                                                                                               ALL.





                                                                                                                               Cytogenetic Analysis in Acute

                                                                                                                               Lymphoblastic Leukemia



                                                                                                                               A                                               m                       k  m

                                                                                                                                       m     k               .  S                                  ALL

                                                                                                                                (  ;    ),  (  ;    ),  (  ;    ),  (  ;    ),  (  ;  ),              P            m  -

                                                                                                                                  m  . G                  m     m                                   m     m

                                                                                                                                ,  ,                                        . A                                  m   k-

                                                                                                                                                                        L          L               ALL,

                                                                                                                                (  ;    )                        mm                          L               ALL

                                                                                                                                     B   k   ’     m      m   m                                          m    -

                                                                                                                                                m     m       .

                                                                                                                                    P                  m                          m     m                     k  -

                                                                                                                               m                                                   ;                                   m

                                                                                                                               k                            m                                     m   ,

                                                                                                                                         (  ;    ),  (  ;    ),      (  ;    )                               .





                                                                                                                               Treatment



                                                                                                                               T         m         m         m                            ALL

                                                                                                                                 m        x                                                        m

                                                                                                                                                                                           m

                                                                                                                                                                       m                                  .  R           ,

                                                                                                                                            -m                                            x            .          m

                                                                                                                                     m                    P                   (P  )        m     m

                                                                                                                                                    ALL. P          m     m       m      m

                                                                                                                                                                         m     m                  . G               ,

                                                                                                                                                                                m     m           m       BCR

                                                                                                                                           m        m     m            j  x                                     -

                                                                                                                                      m              k             m           ABL     m        m     m

                                                                                                                                . A             P          m     m

                                                                                                                               CML,          x m           %                               %              ALL

                                                                                                                                               m                   P          m     m  .

                                                                                                                                    F    -                   -                  ABL k

                                                                                                                                      m           -                                          P           m     m  -

                                                                                                                                            ALL.  I                      m           m           ,                -

                                                                                                                                                   -                   k        ,                       -C     x
                   FIGURE  21.20  A           m                , m                 ,        m      -

                                k  m   :              m              . MPO, m              x       ; SBB,                      (                      m     ),                 ,         m        (    x             ),
                   S                k B; PAS,                      -S       ; ANAE,                             -                 x  m               (         -CVAD)       m                   ALL

                                       (                                                      ); N  F,         m                (  ;    )        m                                       m        m

                              ; CAE,                                  . (R                  m R        E,                            m             m          m           .
                   F         JL. Pathology,           , P                  , PA: L               W      m                           Imm                 ,                           m  m    ,

                   & W  k    ,         ,             m        .)                                                               m                                                   m                          z
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