Abstract

Two cases of leukemia and/or lymphoma were presented with a discussion on interrelationship between leukemia and lymphoma. The first case (32 year old male) had generalized lymphadenopathy and leukemic blood picture with 316,500WBC/cmm and over 80% immature lymphoid cells. It was diagnosed as acute lymphoid leukemia though the morphology of lymphoid cells are similar to that of leukosarcoma cells. Histopathological diagnosis of the cervical lymphnode biopsy was done independently as a lymphoma of lymphocytic type. Final diagnosis was acute lymphoid leukemia. The second case (39 years old female) also had generalized lymphadenopathy however blood picture was not leukemic with 2,150 WBC/cmm and 5% of immature monocytic cells. Histopathological diagnosis of the cervical lymphnode biopsy was a lymphnode of reticulum cell sarcoma type. Bone marrow examination and autopsy was done and the final diagnosis was monocytic leukemia of Schilling type with massive histiocytic infiltration of bone marrow, lymphnodes, spleen and liver.