Case 76. Reference case 76E

       
  Miliary tubersulosis in case of acute leukemia after chemotherapy (43 y-o M), indicating blood-borne systemic dissemination of mycobacteria (gross findings)  
       

 

  Macroscopic recognition of tuberculosis of varied types is important to avoid unnecessary biohazard. The annual incidence of tuberculosis among Japanese pathologists and pathology technicians is as high as 600/100,000/year (roughly 30 times more than the general working age population).