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Case 255

Hematopathology Case

 

CLINICAL INFORMATION

  84 years old female, a mass within the left low lobe of lung. Need biopsy.
     
 
 

HE, 2

HE, 4

 
 

HE, 10

HE, 20

     
 

3 years later, the lung mass was 8.0cm in size. Serum IgM was 9.9 grams/dL. Bone marrow biopsy was performed.

     
 
 

Peripheral blood smear. Wright-Giemsa, 20

Peripheral blood smear. Wright-Giemsa, 40

 
 

Peripheral blood smear. Wright-Giemsa, 100

Peripheral blood smear. Wright-Giemsa, 100

   
  Peripheral blood smear. Wright-Giemsa, 100  
 
  Marrow aspirate smear. Wright-Giemsa, 40 Marrow aspirate smear. Wright-Giemsa, 100
 
 

Marrow clot section. HE, 10

Marrow clot section. HE, 20

 
  Marrow clot section. HE, 40 Marrow clot section. HE, 40
     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, City of Hope Medical Center, Duarte, CA

Photo: Zenggang Pan

Discussion: Zenggang Pan