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Case 5. a Marked peripheral blood leukocytosis with several plasma cells and lymphoplasmacytic cells (Leishman ×400); Inset (Leishman ×1,000), b Endometrial biopsy showing infiltration by plasma cells (H & E ×200); Inset (H & E ×400), c Skin biopsy showing infiltration by plasma cells in the subcutaneous fat (H & E ×200); Left Inset showing strong kappa positivity (IHC ×400), Right Inset showing lambda negativity (IHC ×400)
