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87 y/o with increased PSA and pancytopenia

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Clinical History.
87 y/o male with:
Hematuria
PSA 19.4
Papillary transitional cell carcinoma 
Bone marrow biopsy for pancytopenia

WBC:5.8, Hgb:8.5, Hct:28.9, plt:36
Peripheral smear showed 4% blasts

#1, Peripheral blood, #2-6, Bone marrow aspirate, #7-8, Bone marrow biopsy
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