Hematology Case 28
Hematology Case 28
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Presented By Dr Ghada Balah
Released on 28-03-2020Patient Data
Patient Data
18 YEARS OLD MALE
Clinical Data
Clinical Data
A case of colonic lymphoma on chemotherapy , asymptomatic chest "clear", no lower limb oedema.
Presented with fever and cough
On Examination; tachycardia 140 , Blood Pressure 116/70, Resp. Rate 25 , chest clear, abdomin soft & lax .
Hard swelling (15cmby15cm) extending from Rt iliac fossa to the suprapubic area, patient presented with abdominal pain , lower abdominal swelling / 20 days, bleeding per rectum three times ? Impdeing intestinal obstruction ?
Pleural effusion aspiration from right side; for cytology cell count "See Pictures"
Related Laboratory Results
Related Laboratory Results
GRAM STAIN No Bacteria Seen
AFB STAIN AFB - NEGATIVE
ALT(SGPT) 41.90 HIGH ABNORMAL U/L [0-41]
Normal RFT
- HEAMOTLOGY (Pleural Fluid Cytology):
Total Cell Coun: 4 x10^3/uL,
Polymorph. cells: 15%,
Mononuclear cells: 65%,
Abnormal MonoNuclear Cells : 20% (See photos)
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
20% Abnormal Mononuclear Cells with blastoid features (medium to small size cells , high N/C ratio, fine nuclear chromatin) cytological examination and flowcytometry are recommended.
Final Diagnosis
Final Diagnosis
Pleural fluid secondaries by lymphoma cells.
It is recommended to be tested by immunophenotyping to confirm its relation to the primary lesion.
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