An unusual clinical case: seeking clinical opinions

From: Tytherleigh, Lynette (Lynette.Tytherleigh@health.wa.gov.au)
Date: Tue Sep 24 2002 - 21:25:47 EST


Dear Flow Users

A patient was referred to the Haematology Department of Fremantle Hospital
on 20/09/02 after being treated for a suspected CLL/prolymphocytic leukaemia
with a WCC of 200 X10^9/L on 02/08/02. Prednisolone 50mg was given for
approximately one week and Chlorambucil 6mg for 7 days.

The WCC was 12.0 x 10^9/L on presentation at Fremantle Hospital.
Morphologically the white cells appeared to be T cell prolymphocytes.

Bone marrow and peripheral blood immunophenotyping was done.
The abnormal cells made up 60% of the bone marrow cells. They were gated
using CD45-PC5/LSS and had forward and side scatter characteristics of
lymphocytes. They were positive for CD7, CD11b, CD13, CD33, CD34, CD45,
CD117, and weakly positive for HLADR and negative for CD2, CD3, CD4, CD5,
CD8, CD10, CD14, CD15, CD16+CD56, CD19, CD20, CD61, CD71, CD79b, cCD3, cMPO,
and cCD79a.

Comments would be greatly appreciated.

Regards

Lynette Tytherleigh

Haematology Department
Fremantle Hospital
Alma St
Fremantle 6959
Western Australia
Phone: 08 94312459
Email: Lynette.Tytherleigh@health.wa.gov.au



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