Oncohematology

Myelogram in Suspected Lymphoproliferative Disease

A clinical case of bone marrow cytological examination in a 22-year-old female patient: moderate lymphocytosis in the myelogram and indications for immunophenotyping.

PATIENT is 22 years old. Sternal puncture was prescribed to rule out lymphoproliferative disease.

In peripheral blood - moderate leukocytosis, other parameters are normal.

In the BONE MARROW ASPIRATE, the number of lymphocytes is slightly increased - 22.6% (N 4.3-13.7%), plasma cells 0.6 (N 0.4 - 1.8).

Total neutrophilic granulocytes 64.4% (N 52.7-68.9%).

Erythrocaryocyte count is decreased - 7.1% (N 14.5-26.5%).

Megakaryocytes with preserved functional capacity.

Immunophenotyping is recommended, follow-up in dynamics.

🙏 The publication was kindly provided by KDL physician Nana Novikova, CHUZ “KB” RZHD-Meditsina" Smolensk.