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ASH Image Bank (2009); doi:10.1182/ashimagebank-2009-9-00038
Copyright © 2009 by the American Society of Hematology.
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Atlas Image Set

Bone marrow granuloma

John Lazarchick, M.D.


Figure 1
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Figure 1. Non-caseating granulomatous lesion noted on bone marrow biopsy (arrows). The collection of benign appearing macrophages is interspersed with small lymphocyte and rare plasma cells.

 

Figure 2
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Figure 2. The granulomatous lesion is shown at higher magnification to illustrate the cellular composition of macrophages with eosinophilic cytoplasm and scattered lymphocytes and plasma cells.

 

Figure 3
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Figure 3. The lesion is circumscribed by a cuff of eosinophils (arrows).

 

Figure 4
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Figure 4. A single multinucleated giant cells is shown (arrow).

 

Figure 5
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Figure 5. A CD68 immunohistochemical is shown and illustrates the macrophage composition of the granuloma. The ACE level in this patient was elevated consistent with a clinical diagnosis of sarcoidosis.

 

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Related ASH-SAP Chapter:space logo
Chapter 18: Consultative hematology

This Article
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Google Scholar
Right arrow Articles by Lazarchick, J.
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PubMed
Right arrow Articles by Lazarchick, J.
Related Collections
Right arrow Bone marrow manifestations of inflammatory or other systemic (non-infectious disease)
Right arrow Related ASH-SAP Chapter
Right arrowRelated Image Bank Image Sets
Right arrowRelated ASH Education Book Articles
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Copyright © 2009 by the American Society of Hematology.