Menu Expand
SPEC - Nathan and Oski's Hematology and Oncology of Infancy and Childhood, 8th Edition, 12-Month Access, eBook

SPEC - Nathan and Oski's Hematology and Oncology of Infancy and Childhood, 8th Edition, 12-Month Access, eBook

Stuart H. Orkin | David G. Nathan | David Ginsburg | A. Thomas Look | David E. Fisher | Samuel Lux

(2014)

Additional Information

Book Details

Abstract

Written by the leading names in pediatric oncology and hematology, Nathan and Oski’s Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children.

  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
  • Form a definitive diagnosis and create the best treatment plans possible with comprehensive coverage of all pediatric cancers, including less-common tumors, as well as all hematologic disorders, including newly recognized ones.
  • Develop a thorough, understanding of the underlying science of diseases through summaries of relevant pathophysiology balanced with clear, practical clinical guidance. Nathan and Oski’s is the only comprehensive product on the market that relates pathophysiology in such depth to hematologic and oncologic diseases affecting children.
  • Quickly and effortlessly access the key information you need with the help of a consistent organization from chapter to chapter and from volume to volume.
  • Stay at the forefront of your field thanks to new and revised chapters covering topics such as paroxysmal nocturnal hemoglobinuria, lysosomal storage diseases, childhood genetic predisposition to cancer, and oncology informatics.
  • Learn about the latest breakthroughs in diagnosis and management, making this the most complete guide in pediatric hematology and oncology.
  • Discover the latest in focused molecularly targeted therapies derived from the exponential growth of knowledge about basic biology and genetics underlying the field.
  • Rely on it anytime, anywhere!

Table of Contents

Section Title Page Action Price
9780323291774v1_WEB 1
Front Cover 1
Inside Front Cover 2
Nathan and Oski's Hematology and Oncology of Infancy and Childhood, 8/e 3
Copyright Page 6
Contributors 7
Preface 19
Table Of Contents 21
Acronyms 27
A 27
B 28
C 28
D 30
E 30
F 31
G 31
H 32
I 32
J 33
K 33
L 34
M 34
N 35
O 36
P 36
Q 37
R 37
S 38
T 39
U 40
V 40
W 40
X 40
Y 41
Z 41
I Neonatal Hematology 43
1 Anatomy and Physiology of Hematopoiesis 45
Chapter Outline 45
History* 46
Phylogeny 46
Marrow Anatomy 46
Hematopoietic Cells 48
Stem Cells 48
Progenitor Cells 51
Erythroid Colony-Forming Cells 51
Granulocyte and Macrophage Colony-Forming Cells 53
Megakaryocyte Colony-Forming Cells 53
Precursors and Mature Cells 53
Erythroid Development 53
Neutrophil Production 54
Bone Marrow Examination and Megakaryocytopoiesis 54
The Hematopoietic Growth Factors 56
The Lymphohematopoietic Cytokines 57
The Receptor Tyrosine Kinase Ligands 58
The Interleukin 1 Gene Family 58
The Chemokines 58
The Tumor Necrosis Factors 58
The Interferons 58
The Transforming Growth Factor Beta Gene Family 58
Actions of Hematopoietic Growth Factors 58
Predominantly Lineage Specific HGFs: G-CSF, M-CSF, IL-5, TPO, and EPO 58
Multilineage Hematopoietic Growth Factors: IL-3 and GM-CSF 59
Other Interleukins 59
Early-Acting Hematopoietic Growth Factors: Stem Cell Factor and Flt3 Ligand 60
Other Stem Cell Factors: Wnt, Jagged, BMP, and Angiopoietin-like Growth Factors 60
Synergistic Factors: IL-1, IL-6, and IL-11 61
Negative Regulator of Hematopoiesis: Transforming Growth Factor Beta 62
Molecular Biology of Hematopoietic Growth Factors 62
Genomic Analysis of the Cytokine and Cytokine Receptor Genes 62
Structures of the Hematopoietic Growth Factor Proteins 63
Hematopoietic Growth Factor Gene Disruptions 64
Hematopoietin Receptor Ligands 64
Hematopoietic Growth Factor Genes: Regulation of Expression 65
Expression of Hematopoietic Growth Factors by Monocytes/Macrophages and Dendritic Cells: G-CSF, M-CSF, GM-CSF, IL-6, and SCF 65
Regulation of EPO Expression by Hypoxia 66
Regulation of Thrombopoietin Gene Expression 68
Hematopoietic Growth Factor Receptors 68
Types of Hematopoietic Growth Factor Receptors 68
Structure and Binding Properties of Receptors 68
Receptor Function 69
Lineage-Specific Factors and Induction of Differentiation 69
Signal Transduction 70
Hematopoietic Growth Factor Signaling Through the RAS Pathway. 73
Biology of Hematopoiesis 75
Stem Cells 75
Transcription Factors and Stem Cells 76
Growth Factors and Stem Cells 78
Erythropoiesis 79
Transcription Factors and Erythropoiesis 80
Growth Factors and Erythropoiesis 80
Negative Regulation of Erythropoiesis 81
Myelopoiesis 81
Phagocyte Development 81
Transcription Factors and Myelopoiesis 82
Growth Factors and Myelopoiesis 82
Megakaryocytopoiesis 83
Thrombopoietin 83
Circulating Platelets 83
Clinical Use of Hematopoietic Growth Factors 84
Human Clinical Studies 84
Malignant Disease 84
Bone Marrow Transplantation 85
G-CSF. 85
Myelodysplasia 86
G-CSF. 86
Aplastic Anemia 86
G-CSF. 87
Human Immunodeficiency Virus Infection 87
GM-CSF. 87
Inherited Bone Marrow Failure Syndromes 87
Anemia of Chronic Renal Failure 89
Other Indications for Recombinant Erythropoietin Therapy 90
Immune Thrombocytopenic Purpura. TPO Mimetics. 90
Stem Cell and Progenitor Cell Mobilization 90
Toxicity of Treatment with Colony-Stimulating Factors 91
Antibodies to Recombinant Factors 91
Conclusion 92
Key References 92
References 94
2 The Neonatal Erythrocyte and Its Disorders 115
Chapter Outline 115
Introduction 115
The Neonatal Erythrocyte 115
Erythrocyte Size 115
Erythrocyte Shape and Deformability 115
Membrane Differences 116
Globin Composition and Oxygen Transport 117
Cellular Metabolism 117
Life Span 118
Normal Hematologic Values 118
Hemoglobin and Hematocrit 118
Cord Clamping and Placental Transfusion 119
Site of Blood Sampling 119
Reticulocytes 119
Erythrocyte Indices 119
Mean Corpuscular Volume 119
Mean Corpuscular Hemoglobin 119
Mean Corpuscular Hemoglobin Concentration 119
Erythrocyte Morphology 119
Neonatal Anemia 119
Hemorrhage in the Fetus and Newborn 120
Prenatal Hemorrhage 120
Fetomaternal Hemorrhage (FMH) 120
Abruptio Placentae 120
Placenta Previa 122
Vasa Previa 122
Velamentous Insertion of the Cord 122
Twin-Twin Transfusion and Related Disorders 122
Traumatic Fetal Hemorrhage 122
Placental Lesions 122
Other Causes of Fetal Hemorrhage 123
Intrapartum Hemorrhage 123
Placenta 123
Laceration of the Placenta. 123
Umbilical Vessels 123
Intrapartum Trauma 123
Cranial Hemorrhage. 123
Subgaleal Hemorrhage. 123
Cephalohematoma. 123
Intracranial Hemorrhage. 123
Abdominal Hemorrhage. 123
Adrenal Hemorrhage. 124
Hepatic Hemorrhage. 124
Splenic Hemorrhage. 124
Postpartum Hemorrhage 124
Neonatal Coagulopathy 124
Iatrogenic Causes 124
Other Causes of Hemorrhage 124
Clinical Manifestations of Fetal and Neonatal Hemorrhage 124
Hemolysis in the Fetus and Newborn 125
Extrinsic Hemolysis 125
Blood Group Incompatibility 125
Other Causes of Extrinsic Hemolysis 125
Angiopathic Anemias 126
Disseminated Intravascular Coagulation. 126
Vascular-Related Causes, Including Kasabach-Merritt Syndrome. 126
Oxidant Exposure 126
Other Causes of Hemolysis 126
Intrinsic Hemolysis 127
Disorders of Erythrocyte Metabolism 127
Disorders of the Hexose Monophosphate Shunt and Associated Pathways 127
Disorders of the Embden-Meyerhof Pathway 128
Disorders of Glutathione Metabolism 128
Disorders of the Erythrocyte Membrane 128
Hereditary Spherocytosis. 128
Hereditary Elliptocytosis, Hereditary Pyropoikilocytosis, and Related Disorders. 128
Hereditary Stomatocytosis Syndromes 128
Hemoglobin Disorders 128
α-Globin Defects 129
Homozygous α-Thalassemia. 129
Hb H Disease. 129
β-Globin Defects 129
γδβ and εγδβ Thalassemia. 129
Unstable Hemoglobins 129
Decreased Erythrocyte Production 129
Genetic Syndromes 129
Diamond-Blackfan Anemia 129
Fanconi Anemia 130
Shwachman-Diamond Syndrome 130
Pearson Syndrome 130
Aase Syndrome 130
Congenital Dyserythropoietic Anemia 130
Bone Marrow Replacement Syndromes 131
Transient Myeloproliferative Disorder 131
Congenital Leukemia 131
Osteopetrosis 131
Other Replacement Syndromes 131
Infectious Suppression 131
Parvovirus B19 Infection 131
Other Causes of Erythrocyte Underproduction 131
Nutritional Anemia 131
Medications 132
The Late Anemia of Rh Disease 132
Physiologic Anemia and Anemia of Prematurity 132
Physiologic Anemia 132
Anemia of Prematurity 132
Pathogenesis 132
Diagnosis, Treatment, and Prevention 133
Approach to the Anemic Infant 134
Polycythemia Hyperviscosity Syndrome 136
Key References 137
References 139
3 Immune Hemolytic Disease 147
Chapter Outline 147
Historical Aspects 147
The Rh Blood Group System 148
Biochemistry and Molecular Genetics 148
RhD Alloimmunization 150
Maternal Rh Sensitization 151
The Nature of Rh Sensitization 151
Primary and Secondary Immune Responses 151
Dose of Antigen Necessary to Produce RhD Sensitization 152
Incidence of RhD Sensitization 152
Prevention of Rh Sensitization 153
Pathogenesis of Rh Hemolytic Disease 154
Severity of Rh Hemolytic Disease 154
Degrees of Severity 154
Pathogenesis of Hydrops 155
Factors Affecting the Severity of Hemolytic Disease of the Fetus and Newborn 155
Transfer of Antibody to the Fetus 155
Mechanism of Red Blood Cell Hemolysis 155
Antibody Specificity and Severity of Hemolytic Disease 155
Antibody Detection 157
Manual Methods 157
Automated Analysis 157
Prediction of Fetal Hemolytic Disease 157
Determination of Fetal Blood Type 157
Paternal Blood Typing 157
Fetal Blood Typing 158
Prediction of Severity of Disease 158
Pregnancy History 158
Maternal Antibody Titers 158
Amniotic Fluid Spectrophotometry 159
Ultrasound Assessment 159
Percutaneous Fetal Blood Sampling 160
Management of Maternal Alloimmunization 160
Suppression of Alloimmunization 160
Fetal Treatment 161
Induced Early Delivery 161
Intrauterine Transfusions for Fetal Hemolytic Disease 161
Blood for Intrauterine Transfusion 162
Treatment of the Neonate with Hemolytic Disease 162
General Measures 162
Exchange Transfusion 164
Indications for Exchange Transfusion. 164
Free Bilirubin and Reserve Albumin Binding Studies. 164
Technique of Exchange Transfusion. 164
Complications of Exchange Transfusion. 165
Management of Special Problems 165
Syndrome of Hepatocellular Damage 165
Infants Who Have Undergone Fetal Transfusions 165
Follow-Up Care of the Infant with Hemolytic Disease 166
Long-Term Neurodevelopment Outcome After Severe Fetal Anemia 166
Other Maternal Alloantibodies Causing Fetal and Neonatal Hemolytic Disease 166
Alloantibodies Other than A and B 166
ABO Hemolytic Disease 169
Conclusions 170
Key References 170
References 172
4 Neonatal Jaundice and Disorders of Bilirubin Metabolism* 178
Chapter Outline 178
Introduction 178
Bilirubin Metabolism 178
Bilirubin Production and Transport 178
Hepatic Uptake of Bilirubin 180
Bilirubin Conjugation 182
Bilirubin Excretion 182
Enterohepatic Circulation of Bilirubin 184
Diagnosis of Hyperbilirubinemia 184
Total Serum Bilirubin Measurements 184
Transcutaneous Bilirubinometry 186
Toxicity of Unconjugated Hyperbilirubinemia 186
Kernicterus 186
Nonpathologic Unconjugated Hyperbilirubinemia 187
Physiologic Jaundice 187
Breastfeeding and Jaundice 187
Disorders of Pathologic Unconjugated Hyperbilirubinemia 188
Disorders of Production 188
Isoimmunization 188
Erythrocyte Enzymatic and Structural Defects 189
Infection 189
Sequestration 189
Polycythemia 189
Disorders of Conjugation 189
Gilbert’s Syndrome 189
Clinical Presentation. 189
Pathophysiology. 191
Diagnosis and Treatment. 192
Crigler-Najjar Syndrome Types I and II 193
Pathophysiology. 193
Diagnosis and Treatment. 194
Disorders of Enterohepatic Circulation 195
Other Causes of Unconjugated Hyperbilirubinemia 195
Management and Treatment of Unconjugated Hyperbilirubinemia 195
Phototherapy 198
Exchange Transfusion 198
Pharmacotherapy 199
Feeding Strategies 200
Disorders of Conjugated Hyperbilirubinemia 200
Rotor Syndrome 200
Pathophysiology 200
Diagnosis and Treatment 201
Dubin-Johnson Syndrome 201
Pathophysiology 201
Diagnosis and Treatment 202
Key References 202
References 205
5 Hemostasis in the Newborn and Infant 217
Chapter Outline 217
Ontogeny of the Human Hemostatic System 217
Coagulation Factors 217
Natural Inhibitors of Coagulation 218
Vitamin K–Dependent Factors 219
The Fetal and Neonatal Fibrinolytic System 220
D-Dimers 220
von Willebrand Factor 220
Platelets 220
Megakaryocytes During Fetal Development 220
Platelet Number, Size, and Survival During Development 221
Platelet Structure 221
Platelet Function 221
Platelet Activation During the Birth Process 222
Blood Vessel Wall: Age and Anticoagulant Properties 222
Maternal Preeclampsia and Fetal Hemostasis 222
Summary of Hemostatic Differences Between Neonates and Older Children and Adults 222
Clinical Aspects of Developmental Hemostasis 222
Hemorrhagic Disorders in Neonates 222
Clinical Findings 222
Laboratory Evaluation 222
Sample Collection. 223
Screening Coagulation Tests in Neonates. 223
Bleeding Time. 223
Platelet Function Analyzer. 223
Hereditary Coagulation Factor Deficiencies 223
Inheritance. 223
Clinical Findings. 224
Diagnosis. 224
Treatment. 224
Mode of Delivery. 224
Specific Coagulation Factor Deficiencies 224
Fibrinogen Deficiency. 224
Factor II Deficiency. 225
Factor V Deficiency. 225
Factor VII Deficiency. 225
Factor VIII Deficiency. 225
Factor IX Deficiency. 225
Factor X Deficiency. 225
Factor XI Deficiency. 225
Factor XIII Deficiency. 225
Hereditary Deficiencies of Multiple Coagulation Factors. 226
Hemorrhagic Disease of the Newborn 226
Historical Background. 226
Prophylactic Vitamin K Administration. 226
Bleeding Caused by Vitamin K Deficiency in the Newborn. 226
Laboratory Diagnosis of Vitamin K Deficiency in the Newborn. 227
Treatment. 227
Liver Disease 227
von Willebrand Disease 228
Platelet Disorders 228
Quantitative Platelet Disorders. 228
Epidemiology. 228
Pathogenesis. 228
Increased Platelet Destruction. 228
Immune Thrombocytopenia. 228
Neonatal Alloimmune Thrombocytopenia. 228
Autoimmune Thrombocytopenia. 229
Nonimmune Thrombocytopenia 230
Sepsis and Disseminated Intravascular Coagulation. 230
Exchange Transfusion, Hyperbilirubinemia, and Phototherapy. 230
Hypoxia and Placental Insufficiency. 230
Vascular Malformations. 230
Thrombosis and Familial Thrombotic Thrombocytopenic Purpura. 230
Decreased Platelet Production. 230
congenital viral infection. 230
drug-induced thrombocytopenia. 230
congenital leukemia and other malignant diseases. 230
down syndrome–transient myeloproliferative disorder. 230
Inherited Platelet Disorders. 231
Disorders with Small Platelets 231
wiskott-aldrich syndrome. 231
x-linked thrombocytopenia. 231
Disorders with Normal-Size Platelets 231
congenital amegakaryocytic thrombocytopenia. 231
thrombocytopenia with absent radii. 231
amegakaryocytic thrombocytopenia with radioulnar synostosis. 231
Disorders with Large Platelets 231
paris-trousseau syndrome or jacobsen syndrome. 231
velocardiofacial syndrome. 232
hypersplenism. 232
Clinical Impact of Neonatal Thrombocytopenia. 232
Treatment. 232
Thrombocytosis in the Newborn. 232
Qualitative Platelet Disorders. 232
Phototherapy. 232
Medications 232
aspirin. 232
indomethacin. 232
Maternal Diabetes. 232
Diet. 233
Amniotic Fluid. 233
Nitric Oxide. 233
Extracorporeal Membrane Oxygenation. 233
Thrombotic Disorders in Neonates 233
Congenital Prothrombotic Disorders 233
Homozygous Prothrombotic Disorders. 233
Clinical Findings. 233
Diagnosis. 233
Initial Treatment. 233
Long-Term Therapy. 234
Heterozygous Prothrombotic Disorders. 234
Treatment. 234
Acquired Prothrombotic Disorders 234
Venous Catheter–Related Thrombosis. 234
Arterial Catheter–Related Thrombosis. 234
Diagnosis. 235
Sequelae. 235
Prophylaxis with Heparin. 235
Renal Vein Thrombosis. 235
Clinical Findings and Etiology. 235
Coagulation Abnormalities. 235
Diagnosis and Treatment. 235
Outcome. 235
Spontaneous Venous and Arterial Thrombosis. 235
Anticoagulation Therapy in Newborns 235
Heparin Therapy in Newborns. 235
9780323291774v2_WEB 1734
Front Cover 1734
Nathan and Oski’s Hematology and Oncology of Infancy and Childhood 1737
Copyright Page 1738
Contributors 1739
Preface 1751
Table Of Contents 1753
Acronyms 1759
A 1759
B 1760
C 1760
D 1762
E 1762
F 1763
G 1763
H 1764
I 1764
J 1765
K 1765
L 1766
M 1766
N 1767
O 1768
P 1768
Q 1769
R 1769
S 1770
T 1771
U 1772
V 1772
W 1772
X 1772
Y 1773
Z 1773
XII Biology of Cancer 1775
39 Origins and Evolution of Pediatric Cancers 1777
Chapter Outline 1777
Pediatric Versus Adult Cancers 1778
Childhood ALL as a Model of Clonal Evolution 1779
Evolutionary Penetrance of Disease 1783
Evolutionary Dynamics and Clinical Outcome 1784
Key References 1785
References 1787
40 Epidemiology of Leukemia in Childhood 1789
Chapter Outline 1789
Descriptive Epidemiology 1790
International Patterns 1790
Age-Specific Incidence and Sex Ratio 1790
Acute Lymphoblastic Leukemia 1791
Acute Myeloid Leukemia 1791
Chronic Myeloid Leukemia 1791
Myelodysplastic Syndrome and Other Myeloproliferative Diseases 1791
Ethnic Origin 1791
Socioeconomic Status 1791
Time Trends 1793
Clustering of Leukemia in Space and Time 1793
Genetic Factors and Familial Aggregation 1793
Concordance of Childhood Leukemia in Twins 1794
Leukemia and Cancer in the Families of Children with Leukemia 1794
Cancer in Offspring of Patients Treated for Childhood Leukemia 1794
Other Conditions in Relatives of Patients with Leukemia 1794
Human Leukocyte Antigen–DR and Susceptibility to Childhood ALL 1794
Susceptibility to Childhood ALL: Genetic Polymorphisms 1795
Prenatal Origin of Childhood ALL 1795
Infection 1796
The Kinlen Hypothesis: Residence in Areas with High Population Mixing 1796
Infections during the Index Pregnancy 1796
Antibiotic Use and Immunizations during the Index Pregnancy 1796
Association of Childhood Leukemia with Factors Related to the Immune System 1797
Breastfeeding 1797
Immunizations 1797
Sibship Size 1797
Early Child Care and Preschool Experiences 1797
Infection and Related Exposures during the Lifetime of the Index Child 1797
Chloramphenicol 1798
Index Child’s Contact with Animals 1798
Leukemia and Bacillus Calmette-Guérin Vaccination 1798
Seasonal Variations in the Onset of Childhood Leukemia 1798
Environmental Exposures 1798
Radiation Exposure 1798
Parental Occupational Exposures 1799
Exposure to Chemicals and Dust 1800
Pesticides 1800
Agent Orange. 1800
Hydrocarbons and Solvents 1800
Metal Dusts and Fumes 1800
Wood Dust 1801
Traffic 1801
Electromagnetic and Radiofrequency Field Exposure 1801
Lifestyle 1801
Maternal Diet and Vitamin Supplement Use during Pregnancy 1801
Postnatal Diet of the Index Child and Use of Vitamin Supplements 1802
Tobacco Smoking by Parents 1802
Alcohol 1802
Maternal Reproductive History 1802
Maternal Age and Birth Order 1802
Prior Fetal Loss 1803
Oral Contraceptives 1803
Maternal Illness and Use of Medications during the Index Pregnancy 1803
Ultrasound Examinations 1803
Anesthesia during Labor 1803
Medical History of the Index Child 1803
Congenital Anomalies 1803
Birth Weight and Length at Birth 1804
Vitamin K 1804
Future Directions 1804
Key References 1804
References 1807
41 Informatics 1815
Chapter Outline 1815
DNA-Based Methods 1815
Comparative Genomic Hybridization 1815
Genotyping 1816
Capillary (Sanger) Sequencing 1816
Pyrosequencing 1816
DNA Microarrays 1816
Single Nucleotide Polymorphism Arrays 1817
Chromatin Immunoprecipitation, ChIP-Chip, ChIP-Seq 1818
Genome-Wide Association Studies 1819
Exome Sequencing/Targeted Sequencing 1819
Whole Genome Sequencing 1821
RNA-Based Methods 1822
Whole Transcriptome Shotgun Sequencing (RNA-Seq) 1822
Expression Profiling 1822
Protein-Based Methods 1824
Protein Microarrays 1824
Mass Spectrometry 1824
Informatics 1826
False-Positive Rate, Sample Size, and Validation 1826
Clustering and Classification 1826
Gene Set Enrichment Analysis 1826
Conclusions 1826
Key References 1827
References 1828
42 Genetic Predisposition to Cancer 1832
Chapter Outline 1832
Principles of Cancer Predisposition 1832
Identification of a Child with a Condition Predisposing to Cancer 1833
Features of Family History Suggestive of a Heritable Predisposition to Cancer 1833
Tumor Features Suggestive of a Heritable Predisposition to Cancer 1833
Other Clinical Features Suggestive of a Heritable Predisposition to Cancer 1835
Dermatologic Findings 1835
Developmental or Cognitive Abnormalities 1837
Overgrowth 1837
Specific Congenital Anomalies 1837
Other Physical Features 1837
Incidental Identification of a Child with a Condition Predisposing to Cancer 1838
Genetic Testing for a Heritable Predisposition to Cancer 1838
Complexities of Childhood Cancer Genetic Testing 1838
Guidelines for Testing Children for a Heritable Predisposition to Cancer 1839
Management of Children with a Heritable Predisposition to Cancer 1839
Principles of Tumor Surveillance 1839
Cancer Prevention Strategies 1839
Specific Syndromes Predisposing to Cancer 1840
Hereditary Retinoblastoma 1840
Incidence 1840
Genetics 1843
Tumor Risks and Surveillance 1843
Li-Fraumeni Syndrome 1844
Incidence 1844
Genetics 1844