Hematology Oncology · Year 2 · from Hematology Oncology
Case 3: Hairy Cell Leukemia
Patient Presentation
Demographics: 55-year-old male
Chief Complaint: Recurrent infections, fatigue, and abdominal fullness
History of Present Illness: The patient has had 3 episodes of bacterial pneumonia over the past year. He reports progressive fatigue and early satiety with 15-pound weight loss. He has noticed increasing abdominal fullness on the left side. He has no lymphadenopathy, fevers, or night sweats. He is a non-smoker with no significant past medical history.
Physical Examination:
- Vital signs: BP 118/72, HR 78, RR 16, Temp 36.9C
- General: Pale, thin male
- HEENT: Pallor, no lymphadenopathy
- Cardiac: Regular rhythm, soft flow murmur
- Lungs: Clear
- Abdomen: Massive splenomegaly extending to the pelvis
- No hepatomegaly, no peripheral lymphadenopathy
Workup and Results
Complete Blood Count:
- WBC: 2,100/uL (low)
- Absolute neutrophil count: 450/uL (neutropenia)
- Absolute monocyte count: 80/uL (monocytopenia - characteristic)
- Lymphocytes: 1,400/uL
- Hemoglobin: 9.2 g/dL
- Platelets: 68,000/uL
- Pancytopenia with characteristic monocytopenia
Peripheral Blood Smear:
- Occasional abnormal lymphocytes with oval nuclei
- Fine, hair-like cytoplasmic projections
- Abundant pale blue cytoplasm
Bone Marrow:
- "Dry tap" on aspiration attempt
- Biopsy: Diffuse infiltration by abnormal lymphocytes
- "Fried egg" appearance due to cytoplasmic clearing
- Reticulin fibrosis present
Immunophenotype (Flow Cytometry):
- CD19+, CD20+, CD22+
- CD11c+, CD25+, CD103+
- Annexin A1+
- CD5 negative, CD23 negative
Special Stains:
- TRAP (tartrate-resistant acid phosphatase): Positive
Molecular Testing:
- BRAF V600E mutation: Positive (present in >95% of HCL)
CT Imaging:
- Massive splenomegaly (25 cm)
- No lymphadenopathy
Clinical Image
Peripheral blood smear in hairy cell leukemia showing characteristic lymphocytes with oval/kidney-shaped nuclei and fine, hair-like cytoplasmic projections extending from the cell surface.
Diagnosis
Hairy Cell Leukemia (HCL)
Diagnostic criteria:
- Characteristic "hairy" lymphocytes on smear
- Immunophenotype: CD19+, CD20+, CD11c+, CD25+, CD103+, Annexin A1+
- TRAP positive
- BRAF V600E mutation positive
- Monocytopenia (virtually diagnostic)
- Massive splenomegaly without lymphadenopathy
Treatment Plan
- First-line therapy:
- Cladribine (2-CdA) 0.1 mg/kg/day continuous infusion x 7 days
- OR Pentostatin 4 mg/m2 every 2 weeks x 4-6 cycles
- Single course achieves complete remission in >90%
- Expected course:
- Initial pancytopenia may worsen transiently
- Nadirs at 1-2 weeks
- Recovery over 4-8 weeks
- Durable remissions lasting years to decades
- Supportive care during treatment:
- PJP prophylaxis (TMP-SMX)
- Antiviral prophylaxis (acyclovir)
- G-CSF if severe neutropenia with infection
- Irradiated blood products (risk of TA-GVHD)
- Relapsed disease options:
- Repeat purine analog if long remission
- Rituximab with or without purine analog
- Vemurafenib (BRAF inhibitor) for refractory disease
- Moxetumomab pasudotox (anti-CD22 immunotoxin)
- Monitoring:
- MRD assessment by flow cytometry
- Long-term surveillance for relapse
Teaching Points
- Hairy cell leukemia has pancytopenia with characteristic monocytopenia
- "Dry tap" on bone marrow aspiration due to reticulin fibrosis
- The BRAF V600E mutation is present in >95% of cases and is a therapeutic target
- TRAP positivity helps confirm diagnosis
- Massive splenomegaly without lymphadenopathy is typical
- Purine analogs (cladribine, pentostatin) achieve excellent long-term remissions
- Atypical infections (Legionella, atypical mycobacteria) occur due to monocytopenia
- HCL has excellent prognosis with high cure rates