Hematology Case 15
Hematology Case 15
Presented By Dr Mohammad Moharram
Released on 18-9-201967y female
Previously diagnosed as CLL responded to treatment. CBC results were normal. Visited the hematology clinic for follow up. No organomegaly or hepatosplenomegaly.
WBC: 81.6x10³/uL
Lymphocytes: 75x10³/uL
Platelet: 370x10³/uL
HGB: 9.6 g/dL
MCV: 101 fL
MCH: 28.2 pG
MCHC: 29.1 G/dL
Relapsed CLL
Marked Leukocytosis of mature looking lymphocytes (small sized cells, high nuclear cytoplasmic ratio, condensed chromatin, no nucleoli, trace basophilic cytoplasm). Smudge cells are seen. Few atypical mononuclear cells of irregular nuclear outline are seen.
Relapsed CLL
Immunophenotyping confirmed the relapse.