Case 124 – Update 2

Thank you for all of your input and suggestions. To summarise the case thus far:

  • 68 year old lady referred with a macrocytic anaemia and thrombocytosis:
    • Haemoglobin              87 g/L (115 – 165)
    • White cell count          5.2 x 109/L (4 – 11)
    • Platelets                      538 x 109/L (150 – 450)
    • Mean Cell Volume      108 fl (80 – 100)
  • No reversible cause identified on further investigation, and her blood film demonstrated some dysplastic features:

IMG_2154

We therefore organised a bone marrow aspirate which confirmed trilineage dysplasia, no excess blasts and no excess ring sideroblasts:

 

Cytogenetics has subsequently confirmed a diagnosis of MDS with isolated del(5q) (like many of you suggested – good work!)

 

The patient comes back to clinic for results. How would you communicate her prognosis? What treatment options, if any, would you discuss?

 

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information. 

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Uncategorised. Bookmark the permalink.