Acute Lymphoblastic Leukemia (ALL) and its Diagnostic Approaches
Acute lymphoblastic leukemia (ALL) ALL : Rapid growth of abnormal white blood cells impairing normal blood cell production; requires prompt treatment like chemotherapy. OR Leukemia is the most prevalent childhood cancer, with acute lymphoblastic leukemia (ALL) representing 75-80% of cases. FAB Classification of ALL L1: Mature-appearing lymphoblasts, small blasts, high N:C ratio. L2: Immature and pleomorphic lymphoblasts, small and large blasts, moderate N:C ratio. L3: Large and uniform lymphoblasts (Burkitt's cells), deep basophilic cytoplasm, vacuolation, low N:C ratio. Features L1 L2 L3 Cell size Small, uniform Large, often heterogeneous Large, homogeneous Nucleus Round, regular Oval to round, irregular clefting Round Amount of cytoplasm Scant Moderately abundant Moderately abundant Genetic materia...