PT  - JOURNAL ARTICLE
AU  - Nguyen, Alice
AU  - Joshi, Akita
AU  - Trinh, Samantha
AU  - Taylor, Sara
TI  - Inconclusive Diagnosis of a Lymphoid Neoplasm
AID  - 10.29074/ascls.2018000166
DP  - 2018 Jan 01
TA  - American Society for Clinical Laboratory Science
PG  - 1--5
VI  - 31
IP  - 1
4099  - http://hwmaint.clsjournal.ascls.org/content/31/1/1.short
4100  - http://hwmaint.clsjournal.ascls.org/content/31/1/1.full
SO  - Clin Lab Sci2018 Jan 01; 31
AB  - OBJECTIVE: This case study outlines the diagnostic schema employed at our facility to accurately identify a patient’s hematological condition to facilitate optimal treatment.BACKGROUND: A 71-year-old male patient presented to our hospital with complete blood count data that were suggestive of a lymphoid malignancy due to a critically low leukocyte count coupled with a predominance of lymphocytes displaying abnormal morphology.METHOD: Immunophenotyping studies carried out on the bone marrow indicated that the patient had a B lymphocyte malignancy, although a T-cell neoplasm could not be ruled out. Karyotyping on this patient revealed a complex karyotype, which supported the conclusion that this patient suffered from a malignant condition. Finally, molecular diagnostic testing was employed to specifically identify the disease state.CONCLUSION: Although the testing results are suggestive of a lymphoid malignancy, the patient’s diagnosis remains unclearly defined.