25th September 2020

A 65-year-old woman presents with fatigue, breathlessness, some enlarged lymph nodes

A 65-year-old woman presents with a three week history of fatigue, breathlessness, some enlarged lymph nodes in the inguinal region, and bruising on her arms and legs. She previously had breast cancer for which she was successfully treated with chemo and radiotherapy. On examination, she appears pale, has ecchymoses on her upper and lower limbs, and several firm, painless, enlarged lymph nodes in the inguinal region.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.