69 yrs female from 2009 Feb is under treatment by transfussions and steroids. Resistant anaemia and thrombocytosis are present (RBC 2.47 10x12; PLT 461 10x9). Add diseases: gout, chronic renal insuficiency.  
HISTO: 1) Hyperplastic bone marrow with thrombocytosis up to 35/10 DPRL, mega-dysplasia, megaloblastic erythropoiesis, prominent deposition of iron, focal I reticulin fibrosis; 2) cementification lines of bone trabeculae.  
CD34+ blast 3%; CD117+ precursors 7% (with erythro).  
VIRTUAL SLIDES: Apperio (40x). JPGs taken from virtual slides.  
 
PROPOSAL: MDS/MPN NOS: RARS-T; Suspition of bone remodeling due to chronic renal insuficiency; prominent deposition of iron, focal I reticulin fibrosis.  
 
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