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Reactive changes possibly due to impaired hepatic function or hemolysis, granuloma like areas. (7956) » 4.jpg
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[Reactive changes possibly due to impaired hepatic function or hemolysis, granuloma like areas. ]
Dear colleagues,  
This case present a 58-years-old male with splenomegaly, high fiver, icterus, very high rate of total bilirubin ( 300 mmol/l), pancytopenia, high IgG, law albumin, no hepatomegaly, no hepatitis markers or other serologic tests in this moment.  
We received clot section of bone marrow with reduced myeloid cells, proliferation of erithroid cells, proliferation of T ly ( CD3, CD7, CD4, and CD8- medium sized T-ly), few large B- ly ( CD20+, CD30-, CD15-, Bcl6-, CD10- , EBV-, kappa-, lambda-), few reactive lymphatic follicles, and "granuloma " like changes.  
Dg question: TCRBCL??T-cell lymphoma??? Reactive changes???  
Please, give us your opinion in this interesting case.  
Thank you!  
 
Sender: hublerm
(case: nurija)
2009-07-22 16:04
INCTR - EBMWG Hematopathology Online

Last modified: 2009-07-22 16:04:23