Acute Promyelocytic Leukema (aPML) - AML/ M3 Subtype - t(15;17) - Vitamin A (ATRA) - Hematology

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  • Опубліковано 31 січ 2025

КОМЕНТАРІ • 179

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  3 роки тому +3

    📲 My Premium Videos: www.medicosisperfectionalis.com/

  • @amitsaklani1207
    @amitsaklani1207 4 роки тому +54

    MALTomas caused by H. pylori can be treated with antibiotics aimed at eradicating H. pylori. Also ,there is a class of antibiotic chemotherapy including doxorubicin ,bleomycin ,etc. used in various cancers.

  • @LIFE-nh4zq
    @LIFE-nh4zq 4 роки тому +21

    APL patient right now. 4 months in. Incredible adventure out of the blue. Getting treated with ATRA and Arsenic. Dealing with side effects but staying positive. A long way to go and hopefully i can get those words of cancer free this coming year of 2021. I'm having a grand kid baby boom and i need to be here with them. I pray.. Amen..

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +4

      I wish you the best!
      Keep fighting!
      This type of cancer is treatable. Don’t give up!

    • @CODMOC1
      @CODMOC1 3 роки тому +13

      Gmoney, I was diagnosed last Mothers Day. I initially presented with a vicious staph infection in my arm pit. The ER drained it and sent me home. The next day I couldn't get out of the bed, the next day I had blood pooling under my skin, brown urine, rolling fever and sever fatigue.
      Day 3 after the staph drain I was back at the ER. Diagnosed within 30 minutes but pending bone marrow sample. I spent 2 months in the hospital. The most concerning thing was falling and bleeding out. I had a nasty flareup of gout in my feet from the cancer dying off. Complete remission in 60 days and then home. At home for another month before starting outpatient infusion of Arsenic Triox, 4 weeks on then off for 4 cycles and ATRA 2 weeks on and off for 32 weeks.
      I finished therapy in February. It was a total success. My only side effects has been mild neuropathy, meers lines in my nails. I had mild tachycardia from the Arsenic early on but it dissipated. I'm still not 100%, after being bedridden for almost 2 months I left the hospital walking like a newborn calf. Now I'm actually able to bench 300lbs and feel like my old life is coming back but with a new outlook. My oncologist told me there are no guarantees but my likelihood of APL returning is only about 10-15%. I'll take those odds all day. This illness can be conquered and attitude plays a lot into in. I never lost hope and never lost my sense of humor. My cancer ward nurses cried when I left and told me I was the best patient they had in years and loved my positive outlook.
      Just wanted to share my story, you feel like you have a long way to go but the hardest part is behind you. Stay safe and God bless.
      M

    • @SpeedyCutz
      @SpeedyCutz 3 роки тому

      Keep fighting . You got this

    • @raqimaquliyeva2097
      @raqimaquliyeva2097 3 місяці тому

      @@CODMOC1Hello

  • @mariamaboutouk8849
    @mariamaboutouk8849 4 роки тому +14

    Great ! I always become happy and less stressed when i find a hard topic explained by this channel ! Thanks

  • @souravbhattacharjee8445
    @souravbhattacharjee8445 11 місяців тому +2

    1. Dactinomycin is highly potent in Wilms tumor / childhood rhabdomyosarcoma
    2. Bleomycin might be used in testicular cancer
    3. Donorubicin / doxorubicin might be used .. but is cardiotoxic

  • @victoradeyemi6826
    @victoradeyemi6826 6 років тому +66

    MALT lymphomas caused by Helicobacter pylori infection in gastric mucosa can be treated with antibiotic therapy aimed at eradicating the organism... If not successful, gentle oral chemotherapy... Nice question BTW, 😂👍👍

  • @carlonegri7756
    @carlonegri7756 5 років тому +3

    Man!! The work you're doing is simply amazing, best medical channel by far!! Love your way of explaining!

  • @Fernyg323
    @Fernyg323 6 років тому +5

    Thank you for sharing this video filled with quality and value. I was diagnosed with APL and I’m currently being treated with ATRA and Arsenic. Amazing how this can and is being treated.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому

      You’re welcome...I am sorry that you are facing this...How is your health now?

    • @Fernyg323
      @Fernyg323 6 років тому +3

      Medicosis Perfectionalis I’m on day 14 of 30 in the inpatient setting. The first couple days were difficult I think it was the shock. But so far I haven’t had any side effects, I’m treated well and I’m glad to know it’s a rare but highly treatable form of leukemia. Long road ahead but definitely life changing.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому +1

      I wish you speedy recovery, bro...If you have any question, please let me know...Good luck and stay happy!

    • @Fernyg323
      @Fernyg323 6 років тому +1

      Medicosis Perfectionalis I appreciate the positivity! Like many say, it could be worse. I’m glad science has come a long way to help folks like me. Won’t be easy but we all continue to fight.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому +2

      Indeed! I believe you will come out stronger! Keep fighting and don’t let it beat you.

  • @1dforever820
    @1dforever820 2 місяці тому

    I'm 19 and its been 6 months since I've been diagnosed with APL, at first every was really very hard for me to fight against. I had to stay 4 days of my life in ICU. But now Alhamdulillah everything is going well, treatment is going on and I'm almost back to my normal days in university. Hopefully I'm gonna fight against until the day i fully recovere from this life threatening disease. I pray for all of the patients like me ... take care ❤

  • @lucyburton9869
    @lucyburton9869 4 роки тому +7

    RARA gene is located on 17 and PML on 15! We need lots more APML research on youtube :)

  • @hral-aeen4206
    @hral-aeen4206 4 роки тому +1

    Great u really help me in studying during quarantine 🙏❤️🇮🇶thanks from Iraq

  • @bieberswagg2
    @bieberswagg2 6 років тому +4

    you deserve way more views! amazing videos and simple and understandable explanations! thank you:))

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому +1

      That’s awesome...I can’t thank you enough! Can you help me by sharing these videos, please? Thanks again :)

  • @victoradeyemi6826
    @victoradeyemi6826 6 років тому +10

    Great work Bro.(as usual) I think you mixed up the breakpoints for the two genes on the chromosomes... I think it's 15 fr PML and 17 for RARa... Not like it's so important.. just for clarification purposes... Great job again...

  • @hulandark3824
    @hulandark3824 5 років тому +2

    Antibiotics: Anthracyclins which include doxorubicin; Included in the ABVD regimen for Hodgkin's Lymphoma

  • @jank.2517
    @jank.2517 3 роки тому

    I haven't found any comment on it but I may have overseen it. Treatment of APL is not vitamin A or arsenic. It is combination of both. vitamin A treatment only will lead to remission but is not persistent and will lead to relapse in nearly all cases

  • @yasminese5487
    @yasminese5487 3 роки тому +2

    Hello ! Please why did you say that 9% of blasts make us think of a Leukemia? As we need à 20% of blasts in Bone marrow Biopsy to be able to say it's a Leukemia... Thank you again for the amazing job you are doing !

  • @andymg1321
    @andymg1321 5 років тому +4

    Great content thank you, just a quick remark: RARA is on C17 not 15!

  • @delilahfernandes7932
    @delilahfernandes7932 Рік тому +1

    Ur vids really make me feel great 😊😊..thanks a lot!

  • @krissycat119
    @krissycat119 Рік тому

    Here's one to add to the '3's memory aid…… 3 chromosomes: 15, 16, and 17, to remember t(15:17)

  • @AMJADTAJOUR-ps8wu
    @AMJADTAJOUR-ps8wu Рік тому +2

    Thanks for this channel

  • @shereehi5054
    @shereehi5054 4 роки тому +3

    Yay vitamins are used!!😍
    I’m just a simple person not studying for a test or anything I just wanted to know! So happy. Still wonder if iron pills are used.
    You guys have fun with these science terms lol hope you all pass😁

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +1

      Thank you so much 😊
      Yes, iron pills are still used for patients who are iron deficient.

    • @shereehi5054
      @shereehi5054 4 роки тому

      @@MedicosisPerfectionalis Awesome. I think I get what cancer is now. It’s a lot simpler than I thought. The lymph nodes try to contain it wherever the cancer is. The immune system is attacked and responds with no real fight power😞. It is a strange but easy to follow disease. Wherever it goes it just ruins organs.
      Your vids are as always epic.

  • @sameer-zk2jn
    @sameer-zk2jn 6 років тому +20

    Gastric MALTomas caused by H pylori can b ttt by Antibiotics. Am I right?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому +5

      Excellent! That was a tough one...very well done 👍

    • @mebatsiyontadesse9870
      @mebatsiyontadesse9870 4 роки тому

      @@MedicosisPerfectionalis But this MALT gastric lymphoma should be low grade. The high grade is obviously surgical. But yeah, give triple eradication therapy and eradicate the cancer as well. Medicine is cool.

  • @B3bita1215
    @B3bita1215 5 років тому

    Thank you soooooo so so much!!! Amazing explanation :) I'll be sharing with my med students colleagues.

  • @Haneenhussain.1
    @Haneenhussain.1 5 місяців тому +1

    You A great ❤ good job

  • @alimrjan
    @alimrjan 2 роки тому

    anthracyclines are antibiotics that are used as chemotherapy

  • @serwatkh
    @serwatkh 6 місяців тому

    Thank you for this video.

  • @nha8909
    @nha8909 5 років тому

    yes antibiotics can be used as an antineoplastic drugs, daunorubicin is used to treat acute leukemias

  • @umarrezk
    @umarrezk 2 роки тому +1

    Stunning demonstration!!

  • @anna.mykhailus
    @anna.mykhailus 12 днів тому

    thank you very much

  • @VinayKumar-wg4tj
    @VinayKumar-wg4tj 3 роки тому +1

    yes i have a question when you can teach so damn great and explain everything in a great detail that even my PHD teachers can not then why don't you just add the cytological images to make your content unbeatable at any level?

  • @JeffreyBowers-zk3vs
    @JeffreyBowers-zk3vs 8 місяців тому

    just finished my chemo. 4 months going every day plus atra pills! went into remission after first month and everything went the way they said it would. just have one last bone marrow test. only bad thing that happened was a bit of differentiation syndrome for 3 days. so stopped chemo and started back when it went away(3 days later)

  • @فاطمةأحمدعبدالزهره
    @فاطمةأحمدعبدالزهره 5 років тому +4

    Why the blast in the question is 9%? Isn’t it should be more than 20%? And thank u for ur great videos ^^

    • @kpulkit5627
      @kpulkit5627 3 роки тому

      genetic translocation already mentioned in question stem which is diagnostic

  • @drorietv
    @drorietv 3 роки тому +1

    Very informative and entertaining!

  • @asinglebanana
    @asinglebanana 3 роки тому +1

    Why is the clinical case only have 9% blast peripheral smear? Isn't all acute leukemia supposedly have greater than 20% blast?

  • @agentquestion
    @agentquestion 5 років тому +1

    Actinomycin D, the -rubicins, and I think bleomycin are all anti-tumor antibiotics

  • @dr.md.imrulkaes9793
    @dr.md.imrulkaes9793 6 років тому +1

    Why 9% basts? In APL There are abnormal promyelocytes. Promyelocytes are not blast; actually they are next stage of blast ( myeloblast). Is not it?

  • @hanahesami1616
    @hanahesami1616 2 роки тому

    PML GENE is on chromosome 15 and RAR on 17 ...

  • @deboo117
    @deboo117 6 років тому +1

    Excellent video!

  • @gamer_s_o8959
    @gamer_s_o8959 3 роки тому +2

    in the last case the blast was 9% why we don"t suspect CML ? is that because of the t (15:17) mutation ?

    • @aiedfa3709
      @aiedfa3709 Місяць тому

      it can be CML with t mutation but it's rare and but then blast should be more than 20% which is called blast phase of CML
      in this case (last one in the video ) APL is the more likely diagnosis.

    • @aiedfa3709
      @aiedfa3709 Місяць тому

      The requisite blast percentage for a diagnosis of AML is ≥20% myeloid blasts in bone marrow according to World Health Organization (WHO) criteria 2016. The categories of disease with the presence of t(15;17)(q24;q21) are considered as AML regardless of the blast percentage documented.

    • @scottallen3907
      @scottallen3907 23 дні тому

      Because CML usually has a MUCH higher white count, and blasts are not significantly in chronic phase..in accelerated phase and blast phase is different story though. Also CML youd get the BCR:ABL1.

  • @lesslythmelendez3769
    @lesslythmelendez3769 3 роки тому

    thank you for your helpful topics!!!

  • @TS-mu7yi
    @TS-mu7yi 3 роки тому

    Very helpful. I like ur vdos

  • @fati5177
    @fati5177 5 років тому +1

    شكراا شرح متقن جدا.

  • @retchelfloralde8189
    @retchelfloralde8189 5 років тому +2

    My husband died from this type of leukemia, 4 days after he was diagnosed that it was leukemia.

  • @zas881
    @zas881 5 років тому +1

    شكرًا! 🌟

  • @nflugrad
    @nflugrad 6 років тому +5

    Question: Where is your accent from? I am wanting to say one of the baltic/eastern euro countries. Great video as always thank you so much :)

  • @ZohaibAli-gq3ut
    @ZohaibAli-gq3ut 4 роки тому +1

    Really informative videos! Wanted to know why can promyelocytic anemia (M3) lead to DIC specifically?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +1

      I don't know 🤷‍♂️

    • @alienist9955
      @alienist9955 4 роки тому +1

      Because of auer rods present especially in m3 variety of blast cells...when patient is given chemotherapy the cells get destroyed increases the auer rods in blood leads to activation of coagulation cascade results in DIC.

  • @kamalaryal7226
    @kamalaryal7226 6 років тому +4

    please answer me how can 9% blast cell lead to diagnosis of LEUKEMIA( ALL)????

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому +7

      Good question.
      To diagnose acute leukemia, the blasts should constitute more than 10% of THE BONE MARROW.
      In the case, The 9% blasts was in the peripheral smear, not the bone marrow.
      Got it? 😉

    • @kamalaryal7226
      @kamalaryal7226 6 років тому +1

      @@MedicosisPerfectionalis yess i got it exactly. Thank you.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 років тому

      You’re welcome :)

  • @harshjagetiya99
    @harshjagetiya99 5 років тому +1

    Your videos are just amazing!
    Is the Antibiotic Meant for H Pylori infection treatment?

  • @edits-et8rw
    @edits-et8rw 2 роки тому +2

    Hy I am from India and iam a patient of apml I am trated with arsenox and atra can you tell me how many months I am go for this treatment

    • @Dr911A
      @Dr911A 7 місяців тому

      Can you tell me how many months for this treatment please?

  • @mckaciesoobrattee2972
    @mckaciesoobrattee2972 4 роки тому +1

    Thank you for this

  • @Roxy__12
    @Roxy__12 3 роки тому +1

    Poison and Vitamin made me laugh 😀

  • @ramialhafez1707
    @ramialhafez1707 3 роки тому

    Great video

  • @kurdishfood9626
    @kurdishfood9626 5 років тому

    Plz when you speak about treatment point to dose and side effect of chemotherapy

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +1

      I will do side effects in Pharmacology....Doses will take a lot of time and not required for most students in the medical field...Thanks!

    • @kurdishfood9626
      @kurdishfood9626 5 років тому +2

      @@MedicosisPerfectionalis i am not a medical student, I AM A SINIOR RESIDEN OF HEMATOLOGICAL DISEASES
      but thank you too much you presented very well i liked your presentation too much be continue plz

    • @kurdishfood9626
      @kurdishfood9626 5 років тому

      make an app for android or iphon

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому

      I am honored... Thank you so much!

    • @kurdishfood9626
      @kurdishfood9626 5 років тому +1

      every day i listen you vedios 2 to 3 times you are good presentater thank you too much

  • @fatihabdjn9877
    @fatihabdjn9877 4 роки тому

    وضرب لنا مثلا ونسي خلقه قال من يحيي العظام وهي رميم قل يحييها الذي أنشأها أول مرة وهو بكل خلق عليم

  • @doctorofmedicine1113
    @doctorofmedicine1113 5 років тому

    Make an video on Rheumatoid arthritis

  • @Lily-kr3vb
    @Lily-kr3vb 4 роки тому +1

    Sorry if my english bad, I have something to ask.
    My dad (59 year old) diagnosed with AML and the doctor told us to cure it with atra medicine. The doctor told us it will only take 3-4 months untill my dad recover, but it's already 4 months and nothing much happens to my dad condition. Is there any way to cure it? Because the doctor said there is no chemotherapy for my dad disease. Thank you!

  • @othmanzangaria
    @othmanzangaria 6 років тому +1

    Great video i love it thanks

  • @niloofarkh4779
    @niloofarkh4779 Рік тому +1

    thank u so much

  • @canannlp1606
    @canannlp1606 4 роки тому

    I always end up wanting some lemonade after your lessons :(

  • @nadiamostafa9884
    @nadiamostafa9884 5 років тому +1

    U R Great❤️❤️

  • @masoomesadraei6695
    @masoomesadraei6695 3 роки тому

    amazing..thanks

  • @nefertiti7367
    @nefertiti7367 Рік тому

    Love you 🎉❤

  • @IndranathGaurTraveller
    @IndranathGaurTraveller 2 роки тому

    Can vitamin A tablates intake is prevention of APML r

  • @PerrinRedregez
    @PerrinRedregez 4 місяці тому

    Thank you so much for this amazing video! Could you help me with something unrelated: I have a SafePal wallet with USDT, and I have the seed phrase. (behave today finger ski upon boy assault summer exhaust beauty stereo over). Could you explain how to move them to Binance?

  • @87saurabchakraborty36
    @87saurabchakraborty36 3 роки тому

    Which antibiotic used in the treatment of cancer?

  • @yog_nog
    @yog_nog 3 роки тому

    Hi there, in some notes it says that CML presents with anaemia and thrombocytosis with basophiia, mostly asymptomatic except for splenomegaly and the anaemia. Is this true?

  • @loyaltyesmaeel5656
    @loyaltyesmaeel5656 6 років тому

    after the new WHO classification its no longer named M3 its now one of the AML w recurrent genetics abnormality t (15,17)

  • @cryygurlie6658
    @cryygurlie6658 4 роки тому +1

    how it is AML and the blast are just 9%??

  • @Irahhtan
    @Irahhtan 5 років тому

    To say a leukemia to be acute, does the blast count need to be more than 20% in bone marrow only or also in peripheral blood

  • @kammalisanthosh8745
    @kammalisanthosh8745 3 роки тому +1

    Tq sir🎉🎉🎉

  • @wesamahmed2992
    @wesamahmed2992 4 роки тому

    Rara on chr 17 while apml on chr 15

  • @safwanamran8517
    @safwanamran8517 5 років тому

    Pierson 30 years old has M3 leukemia
    It's treatable or not? I mean it's can be treated for ever ?

  • @adiatahmed2847
    @adiatahmed2847 4 роки тому

    i have very low blood cells but everything else is fine in my body. I''m 21 years old. the doctors today said that they think i have APML. they will get the report within 48 hours. i'm an international student in italy all alone by myself. they say that they can fix it without chemo with the medicine only and i have to be hospitalised for atleast one month. how is the prognosis rate in my case?

    • @yt_manoj_sharma
      @yt_manoj_sharma 10 місяців тому

      are you doing okey right now?

    • @Dr911A
      @Dr911A 7 місяців тому

      كيف حالك الان ؟

  • @fhb1997
    @fhb1997 5 років тому

    Why is it AML if there are less than 10% blasts....????

  • @Helivesinyou
    @Helivesinyou 3 роки тому

    Thank youuu so muchh..

  • @akhilcl
    @akhilcl 3 роки тому

    You mentioned RARA on chromosome 15 and PML on chromosome 17, isn't it just reverse!!!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 роки тому

      You’re right...All my mistakes are corrected on my website in a PDF titled: “mistakes in my videos.”.
      www.medicosisperfectionalis.com/

  • @naveenag1980
    @naveenag1980 6 років тому

    Vincristine and vinblastine anticancer antibiotics?

  • @Sunnysingh-ef8pb
    @Sunnysingh-ef8pb 2 роки тому

    im lovin it smile 😊

  • @docteura8823
    @docteura8823 6 років тому +1

    Thank u .. But plz DIC is an abbrv for what ?

  • @rohangaikwad3773
    @rohangaikwad3773 5 років тому

    Polium b

  • @chandansahu4395
    @chandansahu4395 5 років тому

    How it happen

  • @SherienElBehery
    @SherienElBehery 8 місяців тому

    👏👍

  • @rukiee.b.ovwigho5709
    @rukiee.b.ovwigho5709 2 роки тому

    👏👏👏👏👏👏👏❤️💯

  • @pavelboico9283
    @pavelboico9283 Рік тому

    Dic is common complication, but you spend 15 minutes explaining what leukemia is. Should invest more time on your lectures