PMC7676979_01
Bone marrow biopsy (200x). The bone marrow is normocellular with adequate trilineage hematopoiesis and normal maturation. Several megakaryocytes are present.
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The specimens obtained demonstrated maturing hematopoiesis with adequate megakaryopoiesis and no morphologic evidence of recurrent myeloma (Figure 1).
The platelet count and treatment history of the case.
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He remained dependent on intermittent IVIG infusions until July 2, 2007, when he underwent a splenectomy, resulting in a sustained rise in his platelet count (Figure 2).
The spleen was 244.5 gm showing red pulp congestion, but no abnormal cell population. The perivascular white pulp is intact but attenuated.
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His spleen had a normal weight of 244.5 gm, and microscopic examination demonstrated red pulp congestion and no abnormal cell populations (Figure 3).