C.1.4 Lymphoblastic leukemia
- 13 year old boy, presented with continuous fever, hepato-splenomegally, lymphadenopathy and per rectal bleeding.
C.1.4 (a)
Specimen of:
- Liver
- Spleen
- Kidneys
- Small intestine
- Large intestine
Liver enlarged (1250 g)
- Surface appears smooth.
- Cut surface shows certain degree of venous congestion.
- No deposits seen.
Spleen
- Enlarged (300 g). Surface shows fine irregularities.
Kidneys
- Normal in size.
- Surface smooth, but shows haemorrhagic areas.
- Cut surface show haemorrhages in medulla and cortex.
Large intestine
- Appears normal
Small intestine
- In the mucosa there are petechial haemorrhages.
- Lymph nodes in the mesentery appear enlarged.
- Cut surface of enlarged lymph nodes show smooth surface.