Clinicopathologic Findings of Hematological Malignancy: a Retrospective Autopsy Study.

Abstract:

:Hematological malignancies exhibit many clinical presentations, from ambiguous systemic symptoms to rapid multi-organ failure. By identifying common clinical, laboratory, and autopsy findings in patients with a hematological malignancy, living patients may be diagnosed and treated earlier. We retrospectively reviewed our institution's 2003-2013 autopsy and respective medical records for patients with a hematological malignancy. Clinical, laboratory and autopsy findings were retrieved. 30 patients with hematological malignancy were identified, including 14 "new" cases, defined here as diagnosed either post-mortem (n=6) or within 4 weeks of death (n=8). 16 patients had a known prior diagnosis of greater than 4 weeks and/or received treatment. "New" patients most frequently presented with pain, dyspnea and gastrointestinal symptoms. Common laboratory findings for new lymphoma patients included elevated aspartate aminotransferase, prothrombin time (PT), lactate dehydrogenase (LDH), lactic acidosis, and cytopenia. New leukemia patients had peripheral smear findings, thrombocytopenia, elevated PT, lactic acidosis and elevated LDH. Patients with a prior diagnosis of hematological malignancy had similar findings to new patients with increased thrombocytopenia in prior lymphoma cases. Immediate causes of death were most frequently multi-organ failure through malignant organ infiltration and/or septic shock. With an increased awareness of hematological malignancy in a differential diagnosis, a timely diagnosis or clinical interventions can eventually save lives.

journal_name

Ann Clin Lab Sci

authors

Dierksen J,Buja LM,Chen L

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

565-73

issue

5

eissn

0091-7370

issn

1550-8080

pii

45/5/565

journal_volume

45

pub_type

杂志文章
  • Murine epidermal cell antigen (Skn)-directed autoimmunity induced by transfer of CD4+ T cells.

    abstract::While pathogenic T cells have been identified for several diseases with epithelial cell damage, an autoimmune T cell-mediated response targeted against a known keratinocyte antigen has not been reported. Previously we described an autoimmune response directed to the mouse epidermal cell antigens, Skn. For our murine m...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Jackman SH,Keerthy S,Perry G

    更新日期:2002-04-01 00:00:00

  • Effect of experimental hyperhomocysteinemia on cardiac structure and function in the rat.

    abstract::Male Sprague-Dawley rats were subjected for 2 weeks to daily injections of homocysteine (Hcy), which increased plasma Hcy approximately 2-fold. Echocardiography indicated significant increases in left ventricular diastolic (13%) and systolic (31%) dimensions and decreases in posterior wall thickness (diastolic, -17%; ...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Walker E,Black J,Parris C,Bryda EC,Cansino S,Hunt L,Chappell J,Wehner P,Studeny M,Wright GL

    更新日期:2004-04-01 00:00:00

  • Recent advances in calcium and phosphorus metabolism.

    abstract::This review considers the most recent developments concerning the metabolism and homeostasis of calcium and phosphorus. The kinetics of the distribution of calcium, theories of calculus formation, hypercalcemia and hypocalcemia are discussed, as well as the role of parathyroid hormone, thyrocalcitonin and 1,25 dihydro...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章,评审

    doi:

    authors: Schwartz MK

    更新日期:1975-05-01 00:00:00

  • The expression of GPR109A, NF-kB and IL-1β in peripheral blood leukocytes from patients with type 2 diabetes.

    abstract::This study was designed to explore the association between the G protein-coupled receptor 109A (GPR109A) expression in peripheral blood leukocytes (PBLs) and type 2 diabetes (T2DM) and to discuss the regulation of inflammatory factors by GPR109A signaling. GPR109A signaling has been confirmed to be associated with hom...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Liu F,Fu Y,Wei C,Chen Y,Ma S,Xu W

    更新日期:2014-10-01 00:00:00

  • Multiplex ligation-dependent probe amplification (MLPA) assay for the detection of mitochondrial DNA deletion in chronic progressive external ophthalmoplegia (CPEO).

    abstract::Chronic progressive external ophthalmoplegia (CPEO) is a mitochondrial myopathy commonly caused by deleterious changes in the mitochondrial DNA (mtDNA). We describe a 45-year-old man who was referred to us for investigation of progressive ptosis. We performed a multiplex ligation-dependent probe amplification (MLPA) a...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Kwon MJ,Ki CS,Kim JY,Lee ST,Kim JW,Kang SY

    更新日期:2011-10-01 00:00:00

  • Plasma Cell Granuloma: An Entity within the Spectrum of IgG4-Related Disease.

    abstract::Plasma cell granuloma (PCG) is a relatively rare, mass-forming lesion comprised of polyclonal plasma cells set in a background of storiform fibrosis and spindle cell proliferation. While uncommon, this lesion may occur within any site and should be included in the list of differential diagnoses for plasma cell neoplas...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Forcucci J,Butler-Williams S,Miller N,Lazarchick J

    更新日期:2015-04-01 00:00:00

  • Some aspects of bilirubin determination in the newborn using dimethyl sulfoxide.

    abstract::Although serum bilirubin determination is a common procedure in most clinical laboratories, the test seems to be of particular importance in the screening of neonates, especially the premature or the erythroblastotic infant. However, bilirubin determination is subject to interferences, particularly in the presence of ...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Baginski ES,Epstein E,Zak B

    更新日期:1980-11-01 00:00:00

  • Renal vascular lesions in systemic lupus erythematosus.

    abstract::In the past, necrotizing vasculitis has been considered to be one of the dominant intrarenal vascular abnormalities in systemic lupus erythematosus (SLE). To test the validity of this statement, 70 consecutive renal biopsies from patients with SLE were reviewed. Light microscopy (LM) and immunofluorescence (IF) studie...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Katz SM,Korn S,Umlas SL,DeHoratius RJ

    更新日期:1990-03-01 00:00:00

  • Diagnostic Accuracy of a New Urinalysis System, DongJiu, for Diagnosis of Urinary Tract Infection.

    abstract:OBJECTIVE:The microscopic and chemical analysis of urine is essential for the diagnosis of patients with urinary tract infections (UTI). Quantitative urine culture is the 'gold standard' method for the diagnosis of UTI, but it is labour-intensive and time consuming. The DongJiu 8602 is a new automated urinalysis system...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Kocer D,Sariguzel FM,Ciraci MZ,Karakukcu C,Oz L

    更新日期:2015-10-01 00:00:00

  • Prognostic potential of cytokines, nitrates, and APACHE II score in sepsis.

    abstract::The prognostic potentials of physiological ([Acute Physiologic and Chronic Health Evaluation] APACHE II score) and biochemical (Interleukin 6 [IL-6], Interleukin 6 soluble receptor [IL-6sR], and Interleukin 2 receptor [IL-2R], nitrates) measures were evaluated in sepsis. The APACHE II scores were calculated, and conce...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Bencosme A,Warner A,Healy D,Verme C

    更新日期:1996-09-01 00:00:00

  • Streptococcus milleri group (Streptococcus anginosus): recovery from intra-abdominal and soft tissue sites.

    abstract::One hundred thirty-three Streptococcus milleri group (S. anginosus) isolates were recovered from 487 surgical patients. The streptococci were recovered from 33 percent of intra-abdominal infection cultures (84/257). 22 percent of samples from penetrating visceral trauma (19/86), 52 percent of perirectal abscess specim...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Edmiston CE Jr,Walker AP,Krepel CJ,Gohr CM,Seabrook GR,Frantzides CT

    更新日期:1991-01-01 00:00:00

  • A relationship between neonatal breast size and cord blood testosterone level.

    abstract::The present study was performed to determine if any hormone measured in cord blood correlates with the size of the neonatal breast or the presence of galactorrhea. A total of 144 term newborn infants were examined. Estradiol (E2), progesterone (P), testosterone (T), and thyrotropin (TSH) were determined by radioimmuno...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Francis GL,Hoffman WH,Gala RR,McPherson JC 3rd,Zadinsky J

    更新日期:1990-07-01 00:00:00

  • Light and electron microscopy of hepatocellular changes in griseofulvin fed mice. Particular reference to Mallory bodies.

    abstract::Male Swiss Webster mice were fed a diet containing 2.5 percent griseofulvin (GF). Serially progressive light and electron microscopic hepatic altertions were present from one day on and grossly visible hepatomegaly from two weeks until termination at 22 weeks. GF induced liver changes included hepatocyte nuclear and c...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Wessely Z,Shapiro SH,Klavins JV

    更新日期:1979-01-01 00:00:00

  • Isoniazid hepatotoxicity with clinical and histopathology correlate.

    abstract::A fifteen-year-old girl was treated with isoniazid (INH) for latent tuberculosis infection (LTBI), and subsequently developed epigastric pain, vomiting, and jaundice after three months of treatment. Acute fulminant hepatic failure was diagnosed. INH was stopped, and she received N-acetyl cysteine and Vitamin K. Liver ...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Gourishankar A,Navarro F,Debroy AN,Smith KC

    更新日期:2014-01-01 00:00:00

  • Long-term efficacy of controlled-release carbidopa/levodopa in patients with advanced Parkinson's disease.

    abstract::Twenty-one patients with Parkinson's disease and motor fluctuations who completed a double-blind study comparing controlled-release carbidopa/levodopa (Sinemet CR4) with standard Sinemet (SS) were evaluated one year following completion of the study. Five patients remained on CR4 alone; 16 continued on CR4 plus SS, an...

    journal_title:Annals of clinical and laboratory science

    pub_type: 临床试验,杂志文章

    doi:

    authors: Mark MH,Sage JI

    更新日期:1989-11-01 00:00:00

  • Nuclear factor-kappaB pathway as a therapeutic target in head and neck squamous cell carcinoma: pharmaceutical and molecular validation in human cell lines using Velcade and siRNA/NF-kappaB.

    abstract:BACKGROUND:Nuclear factor-kappaB (NF-kappaB) is synthesized in the cytoplasm, complexed with its inhibitor, I-kappaB, and NF-kappaB is released in an activated (phosphorylated) form following phosphorylation of I-kappaB and proteasomal degradation of the NF-kappaB.p-kappaB complex. The free p-NF-kappaB can then be tran...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Lun M,Zhang PL,Pellitteri PK,Law A,Kennedy TL,Brown RE

    更新日期:2005-07-01 00:00:00

  • Point-of-care testing for drugs of abuse in an urban emergency department.

    abstract::Point-of-care testing (POCT) has been used for illicit substance screening in several settings, primarily in law enforcement and drug treatment centers. In this study, we evaluate the use of this screening approach in the emergency department (ED) of a tertiary-care, urban medical center. Aliquots of urine specimens w...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Mastrovitch TA,Bithoney WG,DeBari VA,Nina AG

    更新日期:2002-10-01 00:00:00

  • Early sucrose-induced retinal vascular lesions in spontaneously hypertensive rats (SHR) and Wistar Kyoto rats (WKY).

    abstract::Retinal capillary basement membrane damage was demonstrated over a relatively short time period (two to three months) by feeding a diet containing high amounts of sucrose to spontaneously hypertensive rats (SHR) and their normotensive controls, Wistar Kyoto rats (WKY). Similar changes did not occur in SHR and WKY on a...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: More NS,Rao NA,Preuss HG

    更新日期:1986-09-01 00:00:00

  • Comparison of Abbott RealTime High-Risk HPV and Hybrid Capture 2 Assays for Detection of HPV Infection.

    abstract:BACKGROUND:Various assays for detecting high-risk human papillomavirus (HR HPV) have been introduced recently, including the Abbott RealTime High-Risk HPV assay. We sought to compare the performance of Abbott PCR to Hybrid Capture 2 for the detection of HR HPV. METHODS:A total of 941 cervical swab specimens were obtai...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Ko K,Yu S,Lee EH,Park H,Woo HY,Kwon MJ

    更新日期:2016-09-01 00:00:00

  • Report of two cases: Rattlesnake venom-induced thrombocytopenia.

    abstract::We report 2 patients who presented with vasomotor symptoms and severe thrombocytopenia following rattlesnake bites. These symptoms persisted in spite of treatment with antivenin and transfusion of multiple doses of platelets. Thrombocytopenia is a common occurrence in moderate to severe crotaline envenomation. Algorit...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Odeleye AA,Presley AE,Passwater ME,Mintz PD

    更新日期:2004-10-01 00:00:00

  • Relationship between bilirubin, apolipoprotein B, and coronary artery disease.

    abstract::Lipoprotein lipids and apo B from 254 male patients were compared with bilirubin as a risk factor for coronary artery disease (CAD). Patients were classified as: 1, Normal, all vessels < 20% stenosis, n = 83; or 2, CAD, at least one vessel > 70%, n = 171. Diagnostic accuracy was assessed by receiver operator character...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Levinson SS

    更新日期:1997-05-01 00:00:00

  • Reduction of Drug-Drug Interaction Risk; CDC Guidelines Influence on Opiate Benzodiazepine Prescribing.

    abstract::We examined the results of 1.3 million drug tests performed on patients being monitored for compliance with pain medications and substance abuse rehabilitation to determine if the 2016 CDC prescribing guidelines had any impact on opiate benzodiazepine use. We observed that the combination of the opiate drugs morphine,...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Pesce A,Thomas R,Krock K,Tran K,Ackerman G,Nickley J

    更新日期:2020-05-01 00:00:00

  • Serum C1q Concentration Positively Correlates with Erythrocyte Sedimentation Rate in Polymyositis/Dermatomyositis.

    abstract::C1q is an important component of the classical complement pathway. This study aimed to investigate C1q concentrations in the sera of PM/DM patients. C1q concentrations were measured in the sera of 87 PM/DM patients and 100 healthy subjects. In addition, the association between C1q concentration and laboratory indexes ...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Li L,Chen J,Chen S,Liu C,Zhang F,Li Y

    更新日期:2019-03-01 00:00:00

  • A rare case of a multifocal extra-adrenal myelolipoma with markedly hypocellular bone marrow.

    abstract::Extra-adrenal myelolipomas are rare, generally solitary, non-functioning tumors consisting of adipose tissue and hematopoetic elements. These lesions are not known to be associated with underlying hematologic disorders or documented bone marrow abnormalities. We describe the extremely rare occurrence of multifocal, ex...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Sawhney R,McRae B,Lazarchick J

    更新日期:2006-04-01 00:00:00

  • Development and validation of a third generation allergen-specific IgE assay on the continuous random access IMMULITE 2000 analyzer.

    abstract::In vitro determination of allergen-specific IgE (sIgE) represents an important aid in the diagnosis and treatment of allergy. Improvements in laboratory methodology--the development of second, and now third generation assays for sIgE--have brought about major advances in speed, convenience, performance, and in the sta...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Li TM,Chuang T,Tse S,Hovanec-Burns D,El Shami AS

    更新日期:2004-01-01 00:00:00

  • Intra-abdominal desmoplastic small round cell tumor: immunohistochemical evidence for up-regulation of autocrine and paracrine growth factors.

    abstract::Desmoplastic small round cell tumors (DSRCT) are highly aggressive tumors typically involving the serosal surfaces of the peritoneum. Patients often present with abdominal pain, an abdominal mass, ascites or signs of intestinal obstruction. Cytogenetic and molecular studies have identified a characteristic t(11;22)(p1...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Froberg K,Brown RE,Gaylord H,Manivel C

    更新日期:1999-01-01 00:00:00

  • Optimization PCR for Detection CTG/CCTG-Repeat Expansions in the Diagnosis of Myotonic Dystrophies.

    abstract:CONTEXT:Myotonic dystrophies (DMs) are a group of autosomal dominant neuromuscular disorders which are caused by large CTG/CCTG-repeat expansions in untranslated regions of DMPK/ZNF9 gene. The "phenotypic overlap" in DMs creates complication in distinguishing patients with DM1 from patients with DM2 and underscores the...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Meng YX,Shen HR,Zhao Z,Bing Q,Li N,Hu J

    更新日期:2015-10-01 00:00:00

  • Histochemistry of steroid receptors in prostatic diseases.

    abstract::Tissue obtained from 55 men with prostatic disease was assayed for estrogen and androgen receptors by a newly developed histochemical technique. The material studied consisted of 45 specimens of benign nodular prostatic hyperplasia and 10 specimens of prostatic adenocarcinoma. The results obtained were compared to tho...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Pertschuk LP,Zava DT,Gaetjens E,Macchia RJ,Wise GJ,Kim DS,Brigati DJ

    更新日期:1979-05-01 00:00:00

  • Pleomorphic large cell sarcoma of the spleen with rhabdomyosarcomatous differentiation.

    abstract::An unusual case is reported of pleomorphic large cell sarcoma of the spleen with rhabdomyosarcomatous differentiation in a 34-year old male. According to our knowledge, such a neoplasm has never been reported in the literature. ...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Gong JZ,Sullivan JD,Teichberg S,Hajdu SI

    更新日期:1999-10-01 00:00:00

  • Misdiagnosis of acute myocardial infarction.

    abstract::A total of 979 cardiac profiles were reviewed. Seventeen cases were found to have elevated CK-BB by electrophoresis and were misidentified by the immunoinhibition/immunoprecipitation technique as elevated creatine phosphokinase (CK-MB). Eleven of the 17 cases also had elevated lactate dehydrogenase (LD) LD-5/LD-1 rati...

    journal_title:Annals of clinical and laboratory science

    pub_type: 杂志文章

    doi:

    authors: Manzo V,Sun T,Lien YY

    更新日期:1990-09-01 00:00:00