It is not unusual nowadays with the advent of routine automated blood counts to pick up a patient with chronic myeloid leukaemia and none of the classical signs of large hepatosplenomegaly. The picture shows an elevated white count with no increase in blast cells and there are myelocytes and metamyelocytes suggestive of chronic phase disease. A bone marrow or peripheral blood cytogenetics should be carried out looking for the Philadelphia chromosome.
No comments:
Post a Comment