Abstract:An 83-year-old woman had been under regular follow-up for 10 years with a diagnosis of chronic myelomonocytic leukemia (CMML) when a blood count showed that her hemoglobin concentration (Hb) had fallen by 20 g/l. There were no other unexpected findings on physical examination or in the blood count or film. Bone marrow aspiration was performed to investigate the fall in Hb. Aspirate films showed monocytosis and neutrophil dysplasia. However, unexpectedly, they also showed a population of medium-sized blast-like… Show more
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