Oncohematology

Blood Smear in B-Cell Chronic Lymphocytic Leukemia

Clinical case of B-cell chronic lymphocytic leukemia: hyperleukocytosis 166×10⁹/L, lymphocytosis 97%, Botkin-Gumprecht shadows, and analyzer scattergram.

Peripheral blood of a 76-year-old woman. Confirmed diagnosis: B-cell chronic lymphocytic leukemia.

🩸 CBC: Leukocytes - 16610^9/L Absolute lymphocytes - 159109/L Hemoglobin - 120 g/L Platelets - 147 *109/L

🔬 In smear: Lymphocytes - 97% The population mainly consists of uniform cells, the so-called “Turtle Shell” 🐢 Botkin-Gumprecht shadows 70:100 cells

🙏 The clinical case was kindly provided by clinical laboratory diagnostics doctor Maria Bozhok, Vladivostok