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T-cell prolymphocytic leukemia (T-PLL)

T-cell prolymphocytic leukemia (T-PLL)
#00064966
Author: Davood Bashash; Amir-Mohammad Yousefi; Bahareh Bashiri; Zahra Ghorbani; Hoda Hedayati
Category: Lymphoma: Mature T and NK cell lymphoproliferations > Mature T-cell Leukemias > T cell Prolymphocytic Leukemia
Published Date: 04/02/2024

The patient, a 45-year-old man, was referred due to the sudden onset of symptoms including unexplained weight loss, night sweats, and lymphadenopathies. His complete blood count revealed leukocytosis primarily attributed to lymphocytosis (WBC: 30.78×109/L; ALC: 26.77×109/L). Examination of the peripheral blood smear indicated the presence of small-to-medium-sized cells with irregular, convoluted, and cleaved nuclei. Further analysis through peripheral blood flow cytometry confirmed a diagnosis of T-cell prolymphocytic leukemia (T-PLL), with lymphocytes expressing CD2, CD3, CD5, CD7, CD8, while testing negative for CD1a, CD4, and TdT.