Plasma cell leukemia masquerading as ALL-L3--a case report.

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2005-04-09
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Plasma cell leukemia (PCL) is a rare type of plasma cell dyscrasia. It is diagnosed when circulating plasma cells (PC) are more than 20%. We present a case of PCL in a 62-year-old female. Peripheral smear revealed more than 80% atypical vacuolated plasma cells (Mott cells) almost mimicking Burkitt cells of Acute Lymphoid Leukemia-L3 (ALL-L3). Bone marrow aspirate revealed few mature myeloma cells for which a diagnosis of PCL was thought of. Serum electrophoresis showed a positive M-band and X-ray revealed lytic lesions over femur & pelvic bones. A final diagnosis of PCL was given.
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Tripathy K, Gouda KP, Chakrabarty S, Das AK, Mohanty R. Plasma cell leukemia masquerading as ALL-L3--a case report. Indian Journal of Pathology & Microbiology. 2005 Apr; 48(2): 221-3