25th July 2024

You are reviewing a 77-year-old lady in A&E who has presented with a continuously bleeding wound

You are reviewing a 77-year-old lady in A&E who has presented with a continuously bleeding wound after she accidentally cut herself whilst cooking. On further questioning she reports that she has been feeling fatigued, experiencing unintentional weight loss and intermittent sweats for the last year. She reports her fatigue has become significantly worse recently. On examination you find a mass in the left upper quadrant.

Blood tests reveal a pancytopenia and her blood film shows numerous large immature cells with round nuclei and moderate amounts of cytoplasm.

What is the most likely underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.