26th July 2024

You are reviewing an 82-year-old lady in the haematology clinic who has been referred with unexplained anaemia

You are reviewing an 82-year-old lady in the haematology clinic who has been referred with unexplained anaemia and neutropenia. She initially presented to her GP with fatigue. She has a background of pernicious anaemia but is otherwise well. Her blood film looks as below:

The Armed Forces Institute of Pathology Atlas of Tumour Pathology – PEIR Digital Library

You perform a bone marrow biopsy and identify it to be hypercellular. What is the most likely diagnosis?

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