Greetings,


Apologies to non-clinical types and to those without easy access to a web
browser.


I submit this case for your review and comments.  It is an excellent example of
the need to consider flow cytometry data in the context of accompanying
laboratory data.  At this time I will not include any of that data, but instead
will solicit opinions as to what one might expect to observe morphologically,
and/or any further staining that might be indicated.

  

The specimen was a bone marrow aspirate from a 73 year old male with a 4 year
history of anemia, who presented with a white count in excess of 100,000 cells
per cubic mm.  It was received late on a Friday afternoon :*(, such that
immunophenotyping was performed immediately, without waiting to examine
Wright-stained smears before proceeding.


To review the cytometric data, please point your browser to:

http://130.189.200.66/case/


I will wait a week then post additional information pertinent to the case.


Respectfully submitted,

Marc Langweiler 

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