Large Granular Lymphocytic Leukemia

Blood smear showing a large granular lymphocyte with azurophilic granules in large granular lymphocytic leukemia.

Large granular lymphocytic (LGL) leukemia is a chronic lymphoproliferative disorder characterized by a persistent (>6 months) increase in circulating large granular lymphocytes, typically associated with cytopenias, autoimmune features, and clonal T-cell or NK-cell proliferation. Large granular lymphocytic leukemia is an uncommon condition also described as CD8 lymphocytosis with neutropenia or T-lymphoproliferative disease. Peripheral blood lymphocytosis comprises cells with round or […]

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Hairy Cell Leukemia

Hairy cell leukemia lymphocyte showing characteristic cytoplasmic projections on peripheral blood smear.

Hairy cell leukemia (HCL) is an uncommon, indolent B-cell lymphoproliferative disorder characterized by circulating lymphocytes with fine cytoplasmic projections (“hairy” appearance), splenomegaly, pancytopenia—particularly monocytopenia—and typically absent lymphadenopathy. HCL represents approximately 2% of all leukemias, with an estimated 600–800 new cases diagnosed annually in the United States and a notably low incidence in Japan. The disease occurs predominantly in white, middle-aged […]

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Chronic Lymphocytic Leukemia

Chronic Lymphocytic Leukemia-Blood Film

Chronic Lymphocytic Leukemia (CLL) is a low-grade B-cell lymphoproliferative malignancy characterized by the accumulation of small, mature lymphocytes in the blood, bone marrow, lymph nodes, and spleen. It represents the most common form of leukemia in adults across the Western world and often presents with lymphocytosis, lymphadenopathy, or incidental findings on routine blood tests. CLL is classified under ICD-10 code […]

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Acute Myeloid Leukemia

Acute myeloid leukemia myeloblast containing Auer rods on blood film

Acute Myeloid Leukemia (AML), also known as acute myelogenous leukemia, is an aggressive hematologic malignancy characterized by clonal proliferation of immature myeloid precursor cells in the bone marrow, peripheral blood, and occasionally extramedullary tissues. This uncontrolled expansion results in suppression of normal hematopoiesis due to maturation arrest at an early stage of myeloid differentiation. AML is typically diagnosed when myeloblasts […]

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Acute Lymphoblastic Leukemia

Chest X-ray showing large anterior mediastinal mass associated with Acute Lymphoblastic Leukemia (ALL).

Acute Lymphoblastic Leukemia (ALL) is an aggressive hematologic malignancy characterized by the uncontrolled proliferation of immature lymphoblasts within the bone marrow and peripheral blood. Without prompt diagnosis and treatment, ALL progresses rapidly, leading to bone marrow failure and life-threatening complications. The incidence of ALL peaks in early childhood, particularly between ages 2 and 5, accounting for nearly two-thirds of all […]

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Mycosis Fungoides

Mycosis Fungoides plaques with diffuse hyperpigmented and infiltrated lesions on the upper chest and arm

Mycosis fungoides (MF) and Sézary cell leukemia (SCL) represent closely related forms of cutaneous T-cell lymphoma, characterised by malignant CD4⁺ T-cell proliferation that primarily involves the skin and, in advanced stages, may progress to leukemic dissemination. Clinical Features: Mycosis Fungoides is an uncommon chronic T-cell lymphoma primarily affecting the skin and occasionally the internal organs. The disease is most common […]

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Primary Myelofibrosis

Primary myelofibrosis bone marrow showing marked reticulin fibrosis with distorted architecture.

Primary myelofibrosis (PMF) is a chronic myeloproliferative neoplasm characterized by progressive bone marrow fibrosis, extramedullary hematopoiesis, massive splenomegaly, and anemia often accompanied by nucleated red cells and teardrop-shaped erythrocytes. As the spleen and liver enlarge due to compensatory hematopoiesis, patients may develop abdominal discomfort, infarction, portal hypertension, hypersplenism, plasma volume expansion, and an increased risk of splanchnic vein thrombosis. These […]

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Essential Thrombocythemia

Bone marrow smear showing large mature megakaryocytes in Essential Thrombocythemia.

Essential thrombocythemia (ET) is a myeloproliferative neoplasm (MPN) characterized by megakaryocyte hyperplasia and thrombocytosis due to a multipotent hematopoietic stem cell clonal abnormality. From the genetic perspective, ET patients harbour mutations in JAK2 (50–60%), CALR (15–30%) and MPL (1–5%) genes. Platelet survival is normal in ET. Approximately one-third of patients with ET are asymptomatic at diagnosis. ET usually occurs with bimodal […]

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Polycythemia Rubra Vera

Polycythemia Rubra Vera showing plethoric skin, hepatosplenomegaly, and hypercellular bone marrow biopsy

Polycythemia Rubra Vera (PRV) is a chronic myeloproliferative neoplasm characterized by an increased red blood cell (RBC) production and RBC mass often manifested as an increased hematocrit (Hct).  There is a malignant transformation of the multipotential stem cell with excess production of red blood cells in the bone marrow and blood, causing the blood to thicken. The number of white […]

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Chronic Myeloid Leukemia

Philadelphia chromosome in chronic myeloid leukemia showing t(9;22) BCR-ABL1 translocation

Chronic myeloid leukaemia (CML), also known as chronic myelogenous leukaemia, is a clonal myeloproliferative neoplasm driven by the BCR-ABL1 fusion (Philadelphia chromosome), resulting in uncontrolled proliferation of the granulocytic lineage while preserving normal maturation. It typically presents in the chronic phase but may progress to accelerated or blast phase if untreated. CML is classified under ICD-10 code C91.10. Aetiology: In […]

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