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Updated: Jan 26, 2026

Assessment of the Metabolic Profile of Primary Leukemia Cells
Published on: November 21, 2018
Oligosecretory Primary Plasma Cell Leukemia with Atypical Morphological Abnormality
Eo Toriyama1, Yoshitaka Imaizumi2, Kazuto Tsuruda3
1Department of Hematology, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Diagnosing rare plasma cell leukemia (PCL) can be challenging, especially with atypical cell morphology and low or undetectable monoclonal protein. This case highlights flow cytometry and pathology as key diagnostic tools for oligosecretory PCL.
Area of Science:
- Hematology
- Oncology
- Clinical Pathology
Background:
- Plasma cell leukemia (PCL) is an aggressive rare variant of multiple myeloma.
- Diagnosis typically relies on detecting plasma cells in peripheral blood and monoclonal protein.
- Challenges arise with atypical morphology or absence of detectable monoclonal protein.
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