Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
Look at the attached image. This is a male, age 51, who has hairy cell leukaemia. How does the results of the bone marrow biopsy and the complete cell count (including HGB, HCT and MCV) justify this diagnosis?

Transcribed Image Text:Story:
51 year old male, general health reported as OK, good diet perhaps a little loss of
appetite, regular exercise a little fatigued usually explained by over doing it at the gym'.
Patient was seen by his GP for a routine preoperative check before dental surgery. He was
found to have low haemoglobin and large left upper quadrant mass.
Complete blood count (CBC):
3.36 x 102/L
9.3 x 10/L
5.9 x 10/L
RBC
WBC
PLT
HGB
10.9
g/dL
HCT
31.2
MCV
92.8
fL
Neutrophils
Lymphocytes
14%
15%
Abnormal cells
71% (shown)
Bone marrow biopsy:
Aspirate: A small amount of fluid was aspirated, and showed 78.1% abnormal cells similar to
those in the blood smear.
Sections: Hypocellular with a diffuse loosely structured infiltrate of mononuclear cells.
Increased areas of fibrosis.
Cytochemistry: Tartrate resistant acid phosphatase (TRAP) stain of abnormal cells: positive
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