Monday, August 22, 2016

A variant of hairy cell leukemia

Case: A 63-year-old woman being followed for splenomegaly presented with lymphocytosis (hemoglobin, 14 g/dL; neutrophils, 2.5 × 109/L; lymphocytes, 8.5 × 109/L; monocytes, 0.7 × 109/L; platelets, 200 × 109/L). A blood smear showed 40% medium-sized lymphocytes with abundant cytoplasm with circumferential projections, similar to those of classic hairy cells. The nucleus had condensed chromatin with a conspicuous nucleolus (panels A-F). Flow cytometry revealed 45% clonal B lymphocytes that expressed CD19/CD20/CD22/CD103/CD11c and a lack of CD5/CD10/CD123/CD25/CD200. The BRAFV600E mutation was negative, confirming the diagnosis of hairy cell leukemia-variant (HCL-v).

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Lymphocytosis, villi, and nucleoli: a variant of hairy cell leukemia

Source: Blood journal
Image: ASH Image Bank

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1 comment:

  1. UnknownAugust 27, 2016 at 10:51 PM

    Very Nice blod film! I haven diagnosen som similar cases in ny profession AT The Hematology laboratorium, Karolinska hospital in The 80ties. However, AT thai timer we hade no cd-markers. Cytokemistry only.

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