A Patient with Chronic Lymphocytic Leukemia with Pancreatic Involvement

A 78-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, and chronic lymphocytic leukemia was hospitalized for poor appetite, weight loss, and night sweats. On physical exam, there was no palpable lymphadenopathy, and her abdomen was soft and nondistended. Laborato...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in hematology 2019, Vol.2019 (2019), p.1-3
Main Authors: Essrani, Rajesh, Shah, Hiral, Sullivan, Matthew J.
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Aspartate
B cells
Blood
Bone marrow
Cancer therapies
Case Report
Case reports
Chronic lymphocytic leukemia
Cysts
Family medical history
Flow cytometry
Hemoglobin
Hypertension
Immunoglobulin E
Leukemia
Lymphatic system
Lymphocytes
Lymphoma
Medical imaging
Medical prognosis
Pancreas
Patients
Survival analysis
Type 2 diabetes
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 78-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, and chronic lymphocytic leukemia was hospitalized for poor appetite, weight loss, and night sweats. On physical exam, there was no palpable lymphadenopathy, and her abdomen was soft and nondistended. Laboratory results showed a hemoglobin count of 13.3 g/dl, hematocrit 41.3%, white blood cell 68.4 × 103 μL with lymphocytes 92.0%, total bilirubin 0.4 mg/dL, aspartate transaminase 14 U/L, and alanine transaminase 15 U/L. CT of the chest, abdomen, and pelvis showed hypodense lesions within the pancreatic body (1.4 × 1.4 cm) and medial aspect of the pancreatic head (1.2 cm) as well as mild splenomegaly (13 cm craniocaudally). She subsequently underwent endoscopic ultrasound (EUS) with fine needle aspiration (FNA) of the pancreatic mass. Flow cytometry revealed expression of CD5 and CD23, consistent with chronic lymphocytic leukemia.
ISSN:2090-6560
2090-6579
DOI:10.1155/2019/8153642