clinical history 42 year-old fillpino male who had a reported history of persistent eosinophilia for...

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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

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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

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

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

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
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

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

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

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

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
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
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

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

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

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
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
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

TdT PAX-5