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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