MYELOID METAPLASIA WITH TERMINAL LEUKEMIA

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Abstract
The patient in this case presented a difficult diagnostic hematological problem, with clinical and laboratory variations suggesting different disease processes existing at various times during the course of her illness. A single positive diagnosis could not be established until rather late in her course. The reason for reporting this case is to suggest that many reports in the literature of seemingly different disease processes may be in reality only observations of varying stages of the same basic disease. REPORT OF A CASE A 60-year-old white widow was referred for examination on Sept. 20, 1948, because of a tumor mass in the left upper portion of the abdomen. Her chief complaint was a feeling of fatigue, which had been present for several months but was not increasing appreciably. She had also noted a feeling of pressure or weight in the left side of the abdomen and left flank, and she was

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