Case 15 – update 4

As suggested the blood film is suspicious of leukaemia.  You obviously at admit the child for further investigation.  You recognise the risk of tumour lysis.

You decide to go ahead and perform a bone marrow under sedation.

What other investigations/examinations would you perform at this stage?

What would make you suspicious of T-ALL?

What prognostic factors need to be considered when determining treatment for this child?

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