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Likely causes of the anemia included myelophthisis, bone marrow suppression secondary to chemotherapy, and anemia of chronic disease (29) The decreased thrombocytes were presumably caused by either myelophthisis secondary to the CLL or bone marrow suppression secondary to chlorambucil.
We report a case in which myelophthisis in the setting of apparently localized rectal carcinoma was confirmed to be secondary to spread from rectal primary and consider the implications of this observation.
The low hematopoietic cell count was attributed to myelophthisis.
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