Prepared by residents and fellows and reviewed by clinical faculty at the Washington University School of Medicine, this handbook is a practical quick-reference guide to the diagnosis and treatment of hematologic disorders and adult malignancies. It covers both inpatient and outpatient management approaches with the same front-lines practicality as the world-famous Washington Manual(R) of Medical Therapeutics. This thoroughly updated Second Edition includes new standards in the treatment of malignancies, mechanisms of action of new therapeutic agents, and the current use of molecular prognostic factors. Key points about diagnosis and management of disorders are bulleted for easy reference. This edition also includes illustrations. The Washington Manual(R) is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.
Contributing Authors vi
Chairman's Note ix
Preface x
Hematology
Introduction and Approach to Hematology Pablo Ramirez 1
White Blood Cell Disorders: Leukopenia and Leukocytosis Mark A. Schroeder 11
Red Blood Cell Disorders Walter W. Chan Jinny E. Chang 23
Platelets: Thrombocytopenia and Thrombocytosis Sakib K. Khalid Chanda Ho 36
Introduction to Coagulation and Laboratory Evaluation of Coagulation Anna Margret Halldorsdottir 49
Thrombotic Disease Meagan A. Jacoby Nathan Martin 58
Coagulopathy Lee Demertzis 71
Myelodysplasia, Bone Marrow Failure Syndromes, and Other Causes of Pancytopenia Giridharan Ramsingh Robert Schwartz 78
Myeloproliferative Disorders John S. Welch Mike G. Martin 90
Transfusion Medicine James C. Mosley, III 103
Sickle Cell Disease Meagan A. Jacoby 112
Drugs That Affect Hemostasis: Anticoagulants, Thrombolytics, and Antifibrinolytics Nasreen Ilias Mohsen Nasir 125
Plasma Cell Disorders Philip E. Lammers Tanya M. Wildes 142
Oncology
Introduction and Approach to Oncology Prapti Patel Tanya M. Wildes 149
Cancer Biology Priya K. Gopalan 159
Chemotherapy Kristan M. Augustin Lindsay M. Hladnik 167
Introduction to Radiation Oncology Parag J. Parikh Imran Zoberi 183
Breast Cancer Caron Rigden Mariana Chavez-MacGregor 189
Lung Cancer Janakiraman Subramanian Vamsidhar Velcheti 204
Colorectal Cancer Coy Heldermon 213
Other Gastrointestinal Malignancies David Kuperman 222
Malignant Melanoma Mike G. Martin 233
Head and Neck Cancer Yee Hong Chia David Kuperman 237
Sarcoma Saiama Waqar David Kuperman 248
Endocrine Malignancies Mark A. Schroeder 259
Urological Malignancies Bryan A. Faller James C. Mosley, III 276
Gynecologic Oncology Andrea R. Hagemann Israel Zighelboim 287
Intracranial Tumors Coy Heldermon 299
Leukemias Mike G. Martin John S. Welch 308
Lymphoma Todd A. Fehniger 323
Introduction to Hematopoietic Stem Cell Transplantation Pablo Ramirez 337
Human Immunodeficiency Virus-Related Malignancies Giridharan Ramsingh Nina Asrani 344
Cancer of Unknown Primary Site Lukas D. Wartman 349
Supportive Care in Oncology Brian A. Van Tine 355
Oncologic Emergencies Lukas D. Wartman 370
Index 381