A 30-year-old man presented with a one-week history of fever, chills, and abdominal pain. Peripheral blood examination showed pancytopenia with marked thrombocytopenia. Physical examination revealed hepatosplenomegaly, but no lymphadenopathy was detected. The patient was refractory to multiple transfusions. Finally, a splenectomy was performed (Figs. 59.1 and 59.2). A liver biopsy (Figs. 59.3 and 59.4) and a splenic hilar lymph node biopsy (Fig. 59.5) were taken at the same time.


Liver Biopsy White Pulp Hematologic Neoplasm Splenic Marginal Zone Lymphoma Multiple Transfusion 
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