What is the most likely diagnosis

Reference no: EM133674743

Problem: A middle-aged female patient visits her doctor complaining of fatigue and fullness in her left abdomen. Physical assessment reveals an enlarged spleen. Her blood tests show elevated counts of all blood cells., especially platelets and white blood cell. A bone marrow biopsy indicates hypercellularity. Based on the clinical presentation and bone marrow findings, what is the most likely diagnosis?

Reference no: EM133674743

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