AML with liver-, lungs-, and stomach participation

Anamnesis:
65 years old female patient with known myeloid leukemia presents with progressive weakness and dyspnoe.

Laboratory:
Picture of an acute blast crisis with 99% blasts in peripheral blood.

X-ray thorax:
Atypical pneumonia with interstitial lung increased streaking.

Sonography:
Slightly inhomogeneous liver structure. No focal finding.

Endoscopic finding:

EGD: Extended nodular infiltration of whole somtach - and duodenal wall.

Liver Histology:

HE stain

PAS stain

Diagnosis:
Liver infiltration through known AML

Course:
Patient died within 4 days. Section shows a massive interstitial infiltration of lung and liver.

Cases: