CLINICAL INFORMATION

A 65 years old gentleman had a significant pass medical history of chronic myelomonocytic leukemia. He recently presented with splenomegaly and lymphadenopathies. A splenectomy with lymph nodes dissection was performed. His most recent CBC:

    WBC     44.3K

    RBC      3.08M

    HGB      10.3

    RDW     24.1

    PLT       90K

    Lymph   1.3K

    Neutro   25.3K

    Mono    15.5K

Lymph node, HE, 2×

Lymph node, HE, 10×

Lymph node, HE, 10×

Lymph node, HE, 20×

Lymph node, HE, 40×

Lymph node, HE, 40×

Lymph node, HE, 40×

Lymph node, HE, 40×

Lymph node, HE, 40×

Spleen, HE, 4×

Spleen, HE, 20×

Spleen, HE, 40×

Spleen, HE, 40×

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan