Refractory Anemia with Ring Sideroblasts Associated with Marked Thrombocytosis Complicated by Massive Splenomegaly Treated with Lenalidomide Resulting in Resolution of Splenomegaly but Severe and Prolonged Pancytopenia
Figure 2
(a) demonstrates the patient’s bone marrow reticulin stain at initial presentation demonstrating only fine reticulin deposition around megakaryocytes. (b) is bone marrow biopsy 10 years after diagnosis demonstrating grade 3 reticulin fibrosis.
