Hemepath Teaching Case

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08/16/2010
California Hospital Medical Center
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12-day-old female with 23 weeks of gestation and anemia.

Procedure: Peripheral blood for CBC.

Hematology 6 10 200910121446
11/15/2009
Washington University in St. Louis
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Bone marrow biopsy of the left posterior superior iliac crest shows hypercellular bone marrow with diffuse involvement by a B-cell lymphoproliferative disorder with features most consistent with mantl

Hemepath_Teaching_Case_12_200912052314
11/29/2009
Washington University in St. Louis
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The bone marrow biopsy shows hypercellular marrow with increased blasts (37%) and eosinophilia, consistent with Acute Leukemia (AML-M4 by history), in relapse.

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11/29/2009
Washington University in St. Louis
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The first bone marrow biopsy shows acute myeloid luekemia without differentiation. Flow cytometry results confirm the myeloid lineage of the leukemia.

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11/29/2009
Washington University in St. Louis
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The bone marrow biopsy shows multiple myeloma with plasma cell leukemia.

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11/29/2009
Washington University in St. Louis
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The bone marrow biopsy shows hypocellular marrow with severe morphologic changes, suggestive of Myelodysplastic Syndrome.

11/29/2009
Washington University in St. Louis
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The first bone marrow biopsy shows acute lymphoblastic leukemia with aberrant expression of myeloid antigen.

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11/15/2009
Washington University in St. Louis
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After six cycles of chemotherapy, this patient diagnosed with Stage IV Mantle Cell Lymphoma showed no evidence of lymphoma in his bone marrow biopsy.

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