Thanks to the readers who responded with the correct diagnosis to last week’s case! I’ve also presented this case at our weekly clinical pathology conference and I’ve found it extremely interesting and educational. This was indeed a case of hepatosplenic T-cell lymphoma (HSTL), gamma-delta type. Characteristically, lymphadenopathy was absent and there was no peripheral involvement [...]
It’s been a while since I posted an interesting case, but here’s one that I saw in follow-up during my flow cytometry month. The patient is a 44 yo M with a history of end-stage renal disease secondary to hypertensive nephropathy who was awaiting transplant > 2 years and undergoing peritoneal dialysis. Fatigue and anemia [...]
The following were seen on a Giemsa-stained thick blood film made from EDTA whole blood. Identification?
Our Pathology program has set up the curriculum so that we do three-month block rotations during our second year of training. I just finished my three-month intense hematopathology rotation and really enjoyed it. I’m psyched about doing more of it and I hope to do a fellowship. In the midst of talking about career choices [...]
Sorry for the delay in following up with my case! It was a good initial presentation of chronic myelogenous leukemia, chronic phase. So, to start off with, the 5% “unclassified cells” were myeloid blasts without Auer rods. In addition, the peripheral smear shows mostly granulocytes in varying stages of maturation. The mature bands and neutrophils [...]
I am officially well into my PGY-2 year and my current rotation is Hemepath for 3 months. It’s been a bit of a shift from the mentality of Surgical Pathology, but the workflow is similar to that other, “foreign” world. I enjoy the types of cases we get to work up and actually have found [...]
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