T-cell prolymphocytic leukemia laboratory findings: Difference between revisions

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{{CMG}}; {{AE}}{{Qurrat}}, {{MV}}
{{CMG}}; {{AE}}{{Qurrat}}, {{MV}}


{{T-cell-prolymphocytic leukemia}}
{{CMG}}
==Overview==
==Overview==
==Laboratory Findings==
=== Laboratory Findings ===
* High lymphocyte count (> 100 x 10<sup>9</sup>/L)along with [[anemia]] and [[thrombocytopenia]] are common findings.
*Laboratory findings consistent with the diagnosis of T-cell prolymphocytic leukemia, include:<ref name="pmid23382603">{{cite journal |vauthors=Graham RL, Cooper B, Krause JR |title=T-cell prolymphocytic leukemia |journal=Proc (Bayl Univ Med Cent) |volume=26 |issue=1 |pages=19–21 |year=2013 |pmid=23382603 |pmc=3523759 |doi= |url=}}</ref>
* [[HTLV-1]] serologies are negative, and serum [[immunoglobin]]s are within normal limits with no [[paraprotein]]s present.
:*High [[lymphocyte]] count (> 100 x 109/L)
:*[[Anemia]]  
:*[[Thrombocytopenia]]
:*Negative [[Human T-lymphotropic virus|human T lymphotropic virus]] ([[Human T-lymphotropic virus|HTLV]]) serology
:*Peripheral Blood Smear demonstrated predominance of [[lymphocytes]]:
:**Typical variant:
:*** Medium-sized [[lymphocytes]]
:*** Condensed chromatin and a visible nucleolus
:*** Round nucleus
:*** Slightly basophilic cytoplasm
:*** Cytoplasmic protrusion
:**Small cell variant
:*** Small tumor cells with condensed chromatin
:*** Small nucleolus visible by electron microscopy
:**Cerebriform (Sézary cell-like) variant
:*** Irregular nuclear outline
:*** Similar to cerebriform nucleus of Sézary cells seen in mycosis fungoides


==References==
==References==

Revision as of 16:59, 26 March 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2], Maria Fernanda Villarreal, M.D. [3]

Overview

Laboratory Findings

  • Laboratory findings consistent with the diagnosis of T-cell prolymphocytic leukemia, include:[1]
  • High lymphocyte count (> 100 x 109/L)
  • Anemia
  • Thrombocytopenia
  • Negative human T lymphotropic virus (HTLV) serology
  • Peripheral Blood Smear demonstrated predominance of lymphocytes:
    • Typical variant:
      • Medium-sized lymphocytes
      • Condensed chromatin and a visible nucleolus
      • Round nucleus
      • Slightly basophilic cytoplasm
      • Cytoplasmic protrusion
    • Small cell variant
      • Small tumor cells with condensed chromatin
      • Small nucleolus visible by electron microscopy
    • Cerebriform (Sézary cell-like) variant
      • Irregular nuclear outline
      • Similar to cerebriform nucleus of Sézary cells seen in mycosis fungoides

References

  1. Graham RL, Cooper B, Krause JR (2013). "T-cell prolymphocytic leukemia". Proc (Bayl Univ Med Cent). 26 (1): 19–21. PMC 3523759. PMID 23382603.

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