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Research draft

acute myeloid leukemia

vr.tr.acute-myeloid-leukemia · INF.KNW

Let an agent explain acute myeloid leukaemia and its subtypes, relay diagnosis, classification, treatment and prognosis from haematology guidelines in general terms, route people with symptoms or a diagnosis to clinicians, and distinguish AML from acute lymphoblastic leukaemia, chronic myeloid leukaemia and myelodysplastic syndromes.

Thing Registry Information and virtual systems

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain acute myeloid leukaemia and its subtypes, relay diagnosis, classification, treatment and prognosis from haematology guidelines in general terms, route people with symptoms or a diagnosis to clinicians, and distinguish AML from acute lymphoblastic leukaemia, chronic myeloid leukaemia and myelodysplastic syndromes.

A cancer of the blood and bone marrow in which immature myeloid cells proliferate rapidly, classified by genetics and morphology into subtypes such as acute myeloblastic and acute monocytic leukaemia, core binding factor leukaemia with favourable genetics, cases with BCR-ABL1 and rare inherited predispositions, and occurring mainly in adults with rising incidence with age; it is treated with intensive chemotherapy, targeted drugs and stem cell transplantation, and suspected cases need urgent haematology referral.

What it is for: Not applicable; a disease.

It can be explain subtypes; relay diagnosis and treatment; route to clinicians; distinguish related diseases.

Distinguishing features

Myeloid lineage

Rapid course

Genetic classification

Intensive treatment

What it looks like

Not a visible object; fatigue, infections and bleeding from marrow failure.

Physical character

new cases, US: about 20000 per year

median age at diagnosis: about 68 years

WHO classification: 2022 revision note

five-year survival, all ages: about 30 percent - estimates

How it is recognised

Rapid cancer of immature myeloid cells

Acute myeloblastic, acute monocytic, core binding factor, BCR-ABL1 positive, inherited AML

ALL involves lymphoid cells; CML is chronic; MDS is a precursor state

Related models

is a kind of - in registry terms

myeloid leukemia

is a kind of - in registry terms

acute leukemia

is contrasted with - of lymphoid cells

acute lymphoblastic leukemia

is treated with - in many cases

hematopoietic stem cell transplantation

In practice

Families and kinds

AML with defining genetic abnormalities including core binding factor and BCR-ABL1

AML defined by differentiation including myeloblastic and monocytic forms

therapy-related and secondary AML

AML with germline predisposition

rare forms such as myeloid dendritic cell leukaemia

Identifiers

ICD-10 C92.0 acute myeloblastic leukaemia

MeSH D015470 Leukemia, Myeloid, Acute

Standards and regulation

WHO and ICC classifications of myeloid neoplasms

ELN and NCCN treatment guidelines

Drug approvals for targeted therapies

Failure modes and hazards

Delayed referral

Agents giving personal medical advice

Stale treatment and classification information

Also called

Acute myeloid dendritic cell leukemiainherited acute myeloid leukemiaacute monocytic leukemiacore binding factor acute myeloid leukemiaAcute myeloblastic leukemiaacute myeloid leukemia with BCR-ABL1erythremiaacute erythroid leukemiaacute eosinophilic leukemiaAcute panmyelosis with myelofibrosisadult acute myeloid leukemiaacute myeloid leukemia with myelodysplasia-related changestherapy-related acute myeloid leukemiamixed phenotype acute leukemiaacute myeloid leukemia with 11q23 abnormalitiesunclassified acute myeloid leukemiaacute myeloid leukemia with multilineage dysplasiaacute myeloid leukemia with recurrent genetic anomalyacute promyelocytic leukemiaadult acute monocytic leukemiachildhood acute monocytic leukemiaMinimally differentiated acute myeloblastic leukemiapure erythroid leukemiaacute erythremia and erythroleukemiaacute erythroleukemia, familialbilineal acute myeloid leukemiaadult pure erythroid leukemia

Where this came from

wikidata · CC0 1.0

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Understand What AML is.

Clinical.

Definition

Definition and subtypes.

Definition

Definition.

  1. What is acute myeloid leukaemia, and how do the subtypes named in the registry differ? definition
  2. Is the user asking about their own or a family member s diagnosis, which needs a haematologist? boundary

Causes

Causes and risk.

Causes

Causes.

  1. What causes AML, including prior therapy, genetics and inherited predisposition, in general terms? provenance
  2. Which entry fits the specific subtype? action
Care Diagnosis and treatment.

Clinical.

Diagnosis

Diagnosis and classification.

Diagnosis

Diagnosis.

  1. How is AML diagnosed and classified with marrow examination, flow cytometry and genetics, as guidelines describe? provenance
  2. Which references are standard? provenance

Treatment

Treatment.

Treatment

Treatment.

  1. What treatments do guidelines recommend, from induction chemotherapy to targeted drugs and transplantation, in general terms? provenance
  2. Which sources are cited? provenance
Support Living with AML.

Application.

Prognosis

Prognosis.

Prognosis

Prognosis.

  1. How do genetics and age affect prognosis, as guidelines report? provenance
  2. Is the user seeking personal prognosis, which needs their clinician? boundary

Organisations

Support organisations.

Organisations

Organisations.

  1. Where can patients find leukaemia organisations and clinical trials? action
  2. Which entry fits leukaemia support organisations? action
Context Research and epidemiology.

Context.

Research

Research.

Research

Research.

  1. What research directions exist in AML, with findings attributed? provenance
  2. Which entry fits targeted therapy? action

Epidemiology

Epidemiology.

Epidemiology

Epidemiology.

  1. How common is AML, and how do rates vary by age and region? provenance
  2. Which entry fits the epidemiology of leukaemia? action

What the second pass must settle

  • Should the genetic subtypes be separate entries?
  • How should haematology guidelines be linked?
  • The registry entry has merged aliases naming subtypes; should they be split off?