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Case 101

Hematopathology Case

Clinical information:
 

A 56-year-old male presented with pancytopenia and bone pain. Bone marrow biopsy and aspirate.

    WBC, 2.5 K/uL 

       NEUTR,   1.0 K/uL      

       LYMPH,   1.2 K/uL      

       MONO,    0.2 K/uL    

    RBC, 3.08 M/uL 

    HGB, 9.0  g/dL

    MCV,   86 fL   

    MCH, 29.2 pg

    RDW, 12.3 %  

    PLT,   29 K/uL

 

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 
 

Wright-Giemsa, 100

 

     

BONE MARROW ASPIRATE AND TOUCH IMPRINT

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

BONE MARROW CORE BIOPSY AND CLOT

 
 

 

HE, 10

HE, 20

 

 

HE, 40

HE, 40

 

FLOW CYTOMETRY

 
     
 
     
   
  CD10, BCL2  
 

Click here for diagnosis and case discussion

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE