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Case 107

Hematopathology Case
 

CLINICAL INFORMATION

  A 63 years old male has a history of "CLL" for two years. He recently presented with dysphagia. A CT scan showed circumferential thickening of distal esophagus extending into the stomach. A biopsy of lesion from stomach was performed (hematopathology case# 104). The peripheral blood and spinal fluid were also involved by atypical lymphocytes.
     
 
 

Peripheral blood. Wright Giemsa, 100

Peripheral blood. Wright Giemsa, 100

 
 

Peripheral blood. Wright Giemsa, 100

Peripheral blood. Wright Giemsa, 100

 
  Peripheral blood. Wright Giemsa, 100 Peripheral blood. Wright Giemsa, 100
 
  Peripheral blood. Wright Giemsa, 100 Peripheral blood. Wright Giemsa, 100
 
  Peripheral blood. Wright Giemsa, 100 CSF. Wright Giemsa, 100
 
  CSF. Wright Giemsa, 100 CSF. Wright Giemsa, 100
   
  CSF. Wright Giemsa, 100  
     
 

Click here for diagnosis and case discussion.

 

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

Photo: Zenggang Pan

Discussion: Zenggang Pan