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Tuesday, August 24, 2021

08-24-2021-0926 - Leukemia Mast

Circumstance of or biological-chemical-physical condition...

Leukemia is a cancer of the blood or bone marrow and is characterized by an abnormal proliferation (production by multiplication) of blood cells, usually white blood cells (leukocytes). This is a general term for leukemia (unknown cell type, unknown if acute or chronic). 

https://seer.cancer.gov/seertools/hemelymph/51f6cf59e3e27c3994bd542f/


Mast cell - Granulator, Clogulant, Dysequlibrator, Pitter, Inflams, Scar, Biofilm, Plaque, Calculus, Mineralize, Cavitate, Liquefy, etc.
Cells that play an important role in the body's allergic response. Mast cells are present in most body tissues, but are particularly numerous in connective tissue, such as the dermis (innermost layer) of skin. In an allergic response, an allergen stimulates the release of antibodies, which attach themselves to mast cells. Following subsequent allergen exposure, the mast cells release substances such as histamine (a chemical responsible for allergic symptoms) into the tissue. Type of white blood cell.

In most patients, skin lesions are detectable. Bone marrow biopsy shows a diffuse, dense infiltration with atypical, immature mast cells. Organ damage is usually present at diagnosis
https://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54b3/

Mast cell leukemia

for cases diagnosed 1978 and later
If the leukemia occurs before or simultaneously with Mast Cell Sarcoma (9740/3), see M3 and Module 5:PH 9.
This histology can be determined by positive histology (including peripheral blood) with or without genetics and/or immunophenotyping. Review the Definitive Diagnostic Methods, Immunophenotyping and Genetics Data sections below, and the instructions in the Hematopoietic Manual for further guidance on assigning Diagnostic confirmation.
Mast cell leukemia is the leukemic variant of systemic mastocytosis (9741/3) in which bone marrow aspirate smears contain greater than or equal to 20% mast cells. These mast cells are usually immature and atypical and are often round rather than spindle-shaped. 

In classic mast cell leukemiamast cells account for greater than or equal to 10% of the peripheral white blood cells. 

In most patients, skin lesions are detectable. Bone marrow biopsy shows a diffuse, dense infiltration with atypical, immature mast cells. Organ damage is usually present at diagnosis

General criteria for systemic mastocytosis have been established and there are 5 variants. Each variant has specific criteria, below are the criteria for mast cell leukemia.

1. Meets the general criteria for systemic mastocytosis.
2. Bone marrow biopsy shows diffuse infiltration (usually dense) by atypical, immature mast cells. 
3. In classic cases, mast cells account for greater than or equal to 10 percent of the peripheral blood white blood cells, but the aleukemic variant (in which mast cells account for less than 10%) is more common.
4. Skin lesions are usually absent

CBL
KIT D816V
non-D816V codon 816 mutations
non-codon 816 mutations
TET2
SRSF2

Corresponding ICD-9 Codes

207.8 Other specified leukemia

Corresponding ICD-10 Codes

C94.3 Mast cell leukemia

Corresponding ICD-10-CM Codes (U.S. only)

C94.3 Mast cell leukemia (effective October 01, 2015)

Signs and Symptoms

Abdominal pain
Arthralgias
Bleeding (hemorrhage)
Bone pain
Dermatographism
Diaphoresis
Fatigue
Fever
Flushing
Fractures
Gastrointestinal distress
Headache
Hepatosplenomegaly
Hypotension
Myalgias
Neutropenia
Organ impairment
Osteopenia/osteoporosis
Peptic ulcer
Pruritis
Respiratory problems
Syncope
Tachycardia
Thrombocytopenia
Urticaria
Weight loss

Diagnostic Exams

Blood chemistry studies
Bone marrow aspiration and biopsy
CT (CAT) scan
Peripheral blood smear
Skeletal survey
Skin biopsy

Progression and Transformation

None

Epidemiology and Mortality

Survival: ~ few months

Sources

Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J (Eds):
WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues (Revised 4th edition)
IARC: Lyon 2017
Section: Mastocytosis
Pages: 69

International Classification of Diseases for Oncology, Third Edition, Second Revision. Geneva: World Health Organization, 2020.
Section: ICD-O-3.2 (2020) Morphological Codes
Pages: http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577
https://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54b3/

drafting, draft
Infiltration - signal early nuclear x nucleotide (proton, hydrogen)
    trihydrogen cation, oxygen triangles, radionucleotide, nucleotide, nuclide, proton, hydrogen, electron, etc.. Proton pump and gradient dysequilibrium. Flux alteration. etc..
Granulation - ineff respo (facilitate granulation cells, etc.)
Agranular cell by viri, plasma-membranal-cell wall-etc. disintegration/dysfunction/dysequilibrium/etc., etc.. 
Cell Wall, Plasma Membrane, Agranular Cell, etc.. 
Follicle. 
Protein disorder. 
Lipid neurosignaling/signal disturbance-interference-change-variable, value alteration-etc..
channels, pathways, etc..

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