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A patient has a white cell count of 12.6 *109/L, hematocrit of 28%, and platelet count of 27*109/L. Examination of a Wright-stained blood film reveals that almost all of the white cells in peripheral blood are blasts; the bone marrow is hypercellular with very little fat and is packed with blasts. Flow cytometry is performed on the peripheral blood cells, and a large cluster of cells is present that mark with CD20 and have monoclonal light chains present on their surface. This patient has a:
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