Anemia & Hemorrhagic Disorders
A 56-year-old woman with a history of breast cancer that was treated 5 years ago with lumpectomy and radiation but with no
chemotherapy returns with bone pain, fatigue, and weakness. A complete blood count reveals severe anemia, as well as
decreased white blood cells and platelets. Examination of a peripheral blood smear reveals small numbers of nucleated red cells, as well as an occasional "blast" cell and myelocyte. A likely cause of the hematologic abnormalities is
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