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Drug Reaction With Eosinophilia and Systemic Symptoms Syndrome (DRESS) involvig LN with AITL-like morphology:
🩸Dense infiltrate of polymorphic lymphocytes
🩸Preserved overall architecture: Adequate B & T-cell compartments (sign of benignancy)
#hemepath #lymsm #pathtwitter
#CAPVirtualPath thread Highlights from today's great #Hemepath session by @KyleBradleyMD
Young person with enlarged cervical LN. what immunostains would you order? #pathology #VirtualPath #hemepath
66 yo F with L hip pain s/p trauma.
Hx: SOB, itchiness, hives, vomiting
AGGRESSIVE SYSTEMIC MASTOCYTOSIS
- CD25+, CD117+
- Kit Gene Exon 17 mutation+
- Spindle cells w/ granular cytoplasm
- Mast cells replacing marrow (causing Fx)
#bstpath #hemepath #pathology #pathtwitter
An example of splenic marginal zone lymphoma (SMZL): Infiltration of the red and white pulp by neoplastic small B-cells,highlighted by CD20.Epithelioid histiocytes may be seen in the lymphoid aggregates in SMZL, as shown in this case #Hemepath #lymsm #spleen #endcancer #surgpath
My #hemepath case of the month: older man found to have ⬆️ WBC due to ⬆️ lymphs (35x10e9/L). Asymptomatic, w/ imaging later showing mild splenomegaly and no LAD. PB images:
Granulomas on cytology (lymph node sarcoid)
#pathology #granuloma #PulmPath #hemepath @pathobot
#RealCase 40 yo male presenting pancytopenia and fever. Acute leukemia was suspected. After difficult #bonemarrow aspirate we found...#HairyCellLeukemia
#Hemepath #Hematology #morphology
Acute Promyelocytic Leukemia APML, micro-/hypo-granular variant. High TLC with abnormal promyelocytes (blast equivalents). Nuclei “coin-on-coin” bilobed or “angel-wing” appearance. No Auer rods. +ve for t(15;17) by FISH (no image).
#hemepath #Pathologists
Chronic myeloid leukemia BCR-ABL1+ #PBS maturing neutrophils with “myelocyte bulge”, blasts usu <2%, inc basophils (arrow) #flowcytometry blasts express myeloid antigens (CD13, CD33, CD117) and progenitor cell antigen (CD34, CD38, HLA-DR) plus CD123+ basophils #hhpath #hemepath