Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 14 / No. 3 / Published : 2008-07
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Original Article :
The corelation between leukemia plasma cell and myelofibrosis
Author :
- Sri Sulistiandari*1
- Budiman*2
- Departemen Patologi Klinik Fakultas Kedokteran Universitas Brawijaya/RSU Dr. Saiful Anwar Malang
- Departemen Patologi Klinik Fakultas Kedokteran Universitas Brawijaya/RSU Dr. Saiful Anwar Malang
Abstract :
Plasma cell leukemia (PCL) is a variant form of myeloma which contain more than >20% plasma cells and an absolute plasma cell content ≥ 2.000/mm3 in peripheral blood. PCL is a rare disorder, whole PCL with myelofibrosis is even more rare disorder. The correlation between plasma cell leukemia and myelofibrosis is unclear. A 59-years-old woman referred to our hospital with general weakness and severe anemia. Physical examination: looks pale, anaemic of conjunctiva, hepatosplenomegaly. The laboratory findings are Hb 4.1 gr/dL, MCV 81 fL, MCH 26.7 pg, leucocytes 22.500/mm3, thrombocytes 26.000/mm3, reticulocytes 1.8%. The peripheral blood showed leucoerythroblastic morphology with teardrop cells and 32% plasma cells. Bone marrow aspiration revealed massive plasma cell infiltrations (90%). Protein electrophoresis showed hypogammaglobulinemia. There is no evidence of osteolitic bone lesion on radiological examination. Clinical and laboratory finding above support the diagnosis of Primary Plasma Cell Leukaemia that may lead to myelofibrosis as a complication. Bone marrow biopsy is required to confirm diagnosis of myelofibrosis
Keyword :
Plasma cell leukemia, myelofibrosis,
References :
Dispenzieri A, Lacy MQ, Greip PR,(2004) Multiple myeloma in greer London : Wintrobes clinical hematology
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