Mr Q has become pancytopenic over the last two years. His spleen remains palpable and is clinically larger – approximately 8 cm below the costal margin.
His bone marrow aspirate was acellular and somewhat difficult to obtain. The trephine looks like this:
What is your final diagnosis? What treatment, if any, would you recommend?
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Hairy cell leukemia
Cladribine
Hairy cell leukemia