"Case
2"
žCase 2
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|
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History: |
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51
year old male. |
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Seen by local
physician for routine preoperative exam prior to dental surgery. Found to
have low hemoglobin and a large left upper quadrant mass. |
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Physical Exam: |
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Marked
splenomegaly (subsequently confirmed by CT scan) extending from the left
costal margin to just above the iliac crest. No other organomegaly |
Slide 3
CBC
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|
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RBC 3.36 x
10[12]/L |
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HGB 10.9 g/dL |
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HCT 31.2 % |
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MCV 92.8 fL |
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MCH 32.4 pg |
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MCHC 34.9 g/dL |
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WBC 9.3 x 10[9]/L |
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N 14 % |
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L 15 abnormal
cells 71 (shown) |
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PLT 59 x 10[9]/L |
"Question"
What
morphologic alterations are seen in this blood smear field?
What
further laboratory studies, if any, are indicated?
What is the
most likely diagnosis?