Hematology Case 25
Hematology Case 25
Embedded Files
Presented By Dr Mohammad Moharram
Released on 19-01-2020Patient Data
Patient Data
74 year old female.
Clinical Data
Clinical Data
Patient complain of : Dry irritative cough for 40 days.
History of DM, Hypertension. Patient underwent hystrectomy 25 year ago (Patient doesn't know the cause)
Patient is vitally stable , conscious, oriented.
Chest examination show decrease air entry on right side.
C.T. chest shows highly suspicious multiple lung lesions (?? tumor). Right side pleural effusion.
Related Laboratory Results
Related Laboratory Results
Pleural Fluid Examination:
- Red color.
- RBC 43 X 103 /uL .
- Total Cell Count 4 X 103 /uL (10% polymorphnuclear leukocytes, 78% Mononuclear cells, 12% non hematological cells) .
Normal CBC , INR , APTT , Renal Functions and liver functions.
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
Non Hematological cells are seen with high suspicion of metastatic carcinoma. Cytopathological examination is recommended.
Additional Note
Additional Note
Pleural effusion sample was sent for cytopathological examination.
The report concluded: "Metastatic adenocarcinoma with background of acute inflammation process. Tissue Examination of Biopsy Specimen is recommended to confirm."
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