[11] History/Physical Findings:

A 69-year-old male patient was diagnosed with malignant lymphoma in the stomach at another hospital and then referred to our hospital for the lymphoma staging. A metastatic mass was detected in his liver. He underwent a bone marrow examination.

CBC : WBC 7.3 x10⁹/L, Hgb 8.0 g/dL, PLT 469 x 10⁹/L, RDW 14.3%,

Images:

A. BM aspirate, Wright-Giemsa stain, X1,000)
B. BM biopsy section, Giemsa stain, X400)
C. BM aspirate, epithelial membrane antigen; negative, X1,000
D. BM aspirate, leukocyte common antigen; negative, X1,000

Pathology report of gastric tumor:

CD3(-), L26(-), Ki-67(+;80%), cytokeratin(+)

-> consistent with poorly differentiated carcinoma