Nihar Desai/X
Jan 15, 2025, 16:13
Nihar Desai: A case of elevated white cell count in a 60-year-old male
Nihar Desai, Bone Marrow Transplant Physician at Princess Margaret Cancer Center, shared a post on X:
“A 60-year-old male is referred to a hematologist for an elevated white cell count.
The patient has no symptoms.
His blood smear looks like.
- Ddx?
- Further investigations?
- Management?”
Mehmet Sevki Uyanik, , shared this post, adding:
“CLL
DDx: Indolent MCL
Define whom to No-Go, Slow-Go or Go-Go
Tx for CLL: Btkinh + …
A higher amount of smudge cells is associated with a better prognosis. Smudge cell>vimentin>stromal adherence and Cancer cell survival.”
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