Unusual hairy cell projections

A 26-year-old Indian male presented with a history of dyspnea, fatigue, and jaundice of a month’s duration. He had icterus, pallor, hepatosplenomegaly, severe anemia, thrombocytopenia, and leucocytosis (37 × 10⁹/L) with lymphocytosis. A majority (51%) of the lymphoid cells were large and had folded nuclei, indistinct nucleoli, finely granular basophilic cytoplasm, and circumferentially placed hairy projections (panel A).

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Unusual hairy cell projections in hepatosplenic T-cell non-Hodgkin lymphoma




Source: Blood

Art and Science of Laboratory Medicine

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