A 64 year old man was admitted to the hospital for further investigation of diabetes and weight loss.

Question Number 0521

Question:
A 64 year old man was admitted to the hospital for further investigation of diabetes and weight loss. An enlarged liver palpable 4 cm below the right costal margin was detected. The spleen tip was palpable. Palmar erthyema was present bilaterally. Laboratory and Liver Biopsy results (click and then see below) A likely diagnosis is

a) Burkitt lymphoma
b) acute lymphoblastic leukemia
c) mycosis fungoides
d) hairy cell leukemia
e) acute myelogenous leukemia


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