 
                            How Can Acute Lymphocytic Leukemia Be Diagnosed?
 
 
                                    
                                    
                                          
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                                           Sun, 11 Jan 2015
                                           
                                        
                                        
                                        
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                                             Sun, 11 Jan 2015
                                                
                                            
                                                Answered on
                                                
                                                Sun, 11 Jan 2015
                                                
                                            
                                                Answered on
                                             
                                             Mon, 9 Feb 2015
                                                
                                                
                                                Last reviewed on
                                                
                                                Mon, 9 Feb 2015
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : What is the sensitivity and specificity for Lumbar puncture for diagnosing ALL (Leukemia)?
                            
                                    Brief Answer:
ALL can be diagnosed by Peripheral Smear & Bone Marrow examination.
Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Acute lymphocytic leukemia (ALL) can be diagnosed by peripheral smear examination and bone marrow examination.
More then 20% lymphoblasts are required for diagnosis of ALL. Lumbar puncture is performed for CSF (Cerebro Spinal Fluid) examination.
It is not used for diagnosis of ALL.
It is not specific or sensitive at all for ALL diagnosis.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
                                    
                            ALL can be diagnosed by Peripheral Smear & Bone Marrow examination.
Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Acute lymphocytic leukemia (ALL) can be diagnosed by peripheral smear examination and bone marrow examination.
More then 20% lymphoblasts are required for diagnosis of ALL. Lumbar puncture is performed for CSF (Cerebro Spinal Fluid) examination.
It is not used for diagnosis of ALL.
It is not specific or sensitive at all for ALL diagnosis.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Vinay Bhardwaj
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    Ok, I'd appreciate it if you give me the entire article from "Uptodate" on ALL.
                                
                            
                                    Brief Answer:
I will give you brief information about ALL.
Detailed Answer:
Hi, dear
Acute lymphoblastic leukemia is the hematologic malignancy of lymphopoitic stem cell that originate in the lymphoid precursor of bone marrow, lymphnode and thymus.
ALL is the most common cancer in children under 15 year of age.
Clinical features are fever, weight loss, weaknesses, lymphadenopathy, hepatomegaly, splenomegaly, sternal tenderness etc.
hematologic findings are high total wbc count with more than 20% blast cells, neutropenia and thrombocytopenia.
Diagnosis can be done by bone marrow examination and immunochemistry.
Chemotherapy is the treatment of choice. Bone marrow transplantation can be done if not treated by chemotherapy.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
                                    
                            I will give you brief information about ALL.
Detailed Answer:
Hi, dear
Acute lymphoblastic leukemia is the hematologic malignancy of lymphopoitic stem cell that originate in the lymphoid precursor of bone marrow, lymphnode and thymus.
ALL is the most common cancer in children under 15 year of age.
Clinical features are fever, weight loss, weaknesses, lymphadenopathy, hepatomegaly, splenomegaly, sternal tenderness etc.
hematologic findings are high total wbc count with more than 20% blast cells, neutropenia and thrombocytopenia.
Diagnosis can be done by bone marrow examination and immunochemistry.
Chemotherapy is the treatment of choice. Bone marrow transplantation can be done if not treated by chemotherapy.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Bhagyalaxmi Nalaparaju
                                  
                              
                                          
 
                                    
                                    
                                 
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