Help with Classification

From: Ricky Thompson (rickyt@MD.hhsys.org)
Date: Tue Apr 07 1998 - 15:52:45 EST


I am having difficulty classifying a case and would 
appreciate some help. The patient is a 76 yo female with a 
history of gastric lyphoma
approximately 16 years ago (diffuse histiocytic by 
history) who now presents with an ovarian mass. The mass 
is composed of small monotonous lymphoid cells with round 
nuclei, coarse chromatin, small nucleoli and abundant 
clear cytoplasm with distinct cell borders. By CD45 versus 
RALS, the cells extend from the are where lymphocytes are 
found into the monocyte region. This is also seen on the 
Leucogate. The cells are positive for CD20, CD10, kappa 
(moderate), IgM (bright), CD25, CD11c (approximately 50%) 
and CD23 (approximately 30%). They are negative for CD5 
and CD103. The white count is normal (7000) with a normal 
differential. Ideas? Suggestions?

Thanks in advance for your help.> 

----------------------
Ricky Thompson
rickyt@MD.hhsys.org


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