The clinical features of patients with splenic marginal zone cell lymp
homa (SMZCL) have rarely been reported, In the present study, immunolo
gical abnormalities, particularly hematological abnormalities, observe
d in SMZCL were described. Autoimmune hemolytic anemia, immune thrombo
cytopenia, and appearance of lupus anticoagulant were observed in 2 of
3 patients with SMZCL. Other abnormal data including monoclonal gammo
pathy and cold agglutinin were also observed in 2 of the 3 patients, I
mmunological abnormalities may be characteristic complications in pati
ents with SMZCL and must be followed carefully, since they may be a re
liable marker of this type of lymphoma activity. (C) 1997 Wiley-Liss,
Inc.