Case 59 – update 2

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:

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What is your final diagnosis? What treatment, if any, would you recommend?

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2 Responses to Case 59 – update 2

  1. manalbessa says:

    Hairy cell leukemia
    Cladribine

  2. Ahmad Saleh says:

    Hairy cell leukemia

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