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differential) Workup included imaging which showed a T9 sclerotic lesion, diffuse bony infiltration, enlarged cervical nodes. Bone marrow biopsy and lymph node biopsy.
What are your diagnosis?
Annotations and notes
Clinical history
39 yo man with fatigue, chills, back pain & anemia (WBC 4.5; HGB 10.2; HCT 32.2; MCV: 85.4; PLT: 330; Normal differential) Workup included imaging which showed a T9 sclerotic lesion, diffuse bony infiltration, enlarged cervical nodes. Bone marrow biopsy and lymph node biopsy. What are your diagnosis?
Diagnosis
: Primary myelofibrosis, overt fibrotic type and myeloid sarcoma, erythroblastic type (lymph node)
Slides
