Oncohematology

Case Study: Interpreting Blood Test in CLL Patient

A hematology clinical case: evaluate complete blood count parameters in a 70-year-old patient with chronic lymphocytic leukemia and acute deterioration.

Photograph of blood collection with superimposed analysis results for the case
Photograph of blood collection with superimposed analysis results for the case

Patient, 70 years old. Admitted to the hematology department due to worsening well-being, progressive weakness, sweating, and pain in the right hypochondrium. Has suffered from chronic lymphocytic leukemia for 7 years. Objectively: skin is pale, dry. Liver +2 cm, spleen +3 cm, generalized lymphadenopathy. Peripheral blood analysis: WBC –160.5×109/L, RBC – 1.54×1012/L, Hb – 62 g/L, MCV – 140.4 fL, MCH – 40.1 pg, MCHC – 315 g/L, PLT –170.0×10^9/L, RDW – 23.2%, normoblasts 1 per 100 leukocytes, reticulocytes – 280‰. What disease do the laboratory data correspond to? Answer tomorrow.