clinical history 42 year-old fillpino male who had a reported history of persistent eosinophilia for...
TRANSCRIPT
![Page 1: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/1.jpg)
Clinical History
• 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital without treatment
• In October 2008, the patient was also found to have right axillary mass (LN) and was biopsied at that hospital and had subsequently completed 4 cycles of chemotherapy since then
• The patient was transferred to COHNMC for further management
![Page 2: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/2.jpg)
Pathology in COH
• After admission in COH
• The outside axillary LN biopsy was reviewed and additional immunohistochemical studies were performed
• A bone marrow biopsy was performed and reviewed at COH
![Page 3: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/3.jpg)
Right axillary LN biopsy in 10/2008
![Page 4: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/4.jpg)
![Page 5: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/5.jpg)
CD3
![Page 6: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/6.jpg)
TDT
![Page 7: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/7.jpg)
CD4 CD8
![Page 8: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/8.jpg)
Peripheral blood and bone marrow biopsy in 11/2008
![Page 9: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/9.jpg)
![Page 10: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/10.jpg)
![Page 11: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/11.jpg)
MPO
![Page 12: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/12.jpg)
CD117 CD117
![Page 13: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/13.jpg)
In 12/2009, the patient suddenly developed marked leukecytosis and numerous circulating blasts, leading
to a prompt peripheral blood and bone marrow examination
![Page 14: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/14.jpg)
![Page 15: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/15.jpg)
![Page 16: Clinical History 42 year-old Fillpino male who had a reported history of persistent eosinophilia for many years and was evaluated at an outside hospital](https://reader036.vdocument.in/reader036/viewer/2022070307/551b79de550346d31b8b64f3/html5/thumbnails/16.jpg)
TdT PAX-5