
Mystery cells, case #2
This case presents a patient treated at a US hospital with the initial diagnosis Hodgkin’s Lymphoma, which was later on reevaluated. Do you know the cell types and can you suggest a possible diagnosis? Here are the patient details:
Here are the patient details:
65 year old male
WBC 1.3
PLT Count 7
HGB 7
The diagnosis will be revealed Wednesday August 10. In the meantime interact with your peers and post your comments below!
The cell images were collected on a CellaVision DM96 analyzer. Click to enlarge them.
reed Sternberg cell
I vote MDS
LLA
Myelodysplastic syndrome
I agree it looks like pseudo–Pelger-Huët in conjunction with Myelodysplastic syndrome.
Very dysplastic neutrophils and lymphs, top row look immature I would have to wonder about AML or myelodyplastic syndrome perhaps therapy induced from chemo/radiotherapy for Hodgkins.
The cells on row #1 look like the abnormal lymphs seen in diffuse large B cell lymphoma.