Case Report

Myelodysplastic Syndrome with Myelofibrosis Transformed to a Precursor B-Cell Acute Lymphoblastic Leukemia: A Case Report with Review of the Literature

Figure 2

Peripheral blood smear (a) and the followup bone marrow at two months after initial presentation. Peripheral blood smear show marked pancytopenia with rare circulating lymphoblasts ((a) and inset). Bone marrow smear (b) and biopsy (c) showing sheets and clusters of lymphoblasts. These blasts show diffuse strong cytoplasmic staining for CD10 (d), diffuse nuclear staining for Terminal deoxynucleotidyl transferase (e), but were negative for CD34 (f).
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(a)
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(b)
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(c)
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(d)
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(e)
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(f)