Hematology Case 15
Hematology Case 15
Presented By Dr Mohammad Moharram
Released on 18-9-2019Patient Data
Patient Data
67y female
Clinical Data
Clinical Data
Previously diagnosed as CLL responded to treatment. CBC results were normal. Visited the hematology clinic for follow up. No organomegaly or hepatosplenomegaly.
Related Laboratory Results
Related Laboratory Results
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
Provisional Diagnosis
Provisional Diagnosis
Relapsed CLL
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
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.
Final Diagnosis
Final Diagnosis
Relapsed CLL
Additional Note
Additional Note
Immunophenotyping confirmed the relapse.