Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc
Journal website https://jh.elmerpub.com

Case Report

Volume 000, Number 000, January 2026, pages 000-000

A Rare Presentation of T-cell Prolymphocytic Leukemia With Abnormal Uterine Bleeding

Figures

Figure 1.
Figure 1. Coronal view of CT chest/abdomen/pelvis showing significant splenomegaly, measuring 23.5 cm in craniocaudal dimension. Enlarged, lobulated uterus with partially calcified and heterogenous fibroids are also seen. CT: computed tomography.
Figure 2.
Figure 2. Transverse view of CT chest/abdomen/pelvis showing abdominal lymphadenopathy with noted splenomegaly, with arrow pointing to prominent lymph node. A 3.4 × 2.1 cm nodule on the left adrenal gland is also noted.
Figure 3.
Figure 3. Bone marrow aspirate demonstrating atypical lymphoid cells with an increased nuclear-to-cytoplasmic ratio, irregular nuclear contours, and condensed chromatin (arrows). Cytoplasmic blebs characteristic of leukemic prolymphocytes are present. The bone marrow is nearly completely replaced by atypical lymphoid cells (magnification: × 50 (left) and × 10 (right)).