Drs. Prolla and Diehl's INTERESTING CASE OF THE MONTH March 2005
Liquor, Cytospin preparation, 45-year old male, with a cutaneous lymphoma.
Presence of Sezary and Lutzner cells. 

Sezary cells, 500x oil Pap staining

Sezary cells, 500x M-G-G staining

Sezary cells, 500x M-G-G staining

Sezary cells, 500x M-G-G staining

The smears show many abnormal lymphoid cells: some large convoluted ones (Sezary type), and other small convoluted ones ( so-called Lutzner cells). The German hematological literature in the 70's registered these small convoluted lymphoid cells in Sezary syndrome and related conditions as Lutzner cells. The more modern literature abandoned such distinction calling all convoluted cells in T-cell lymphomas as Sezary cells, and the large flower-type one as "flower cells"... See one case of spetacular "flower cells" in pleuro-pulmonary FNA cytology, or a more benign one.



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