Isolated thrombocytopenia as the initial and sole manifestation of bone marrow b-cell lymphoma in an elderly female

This case demonstrates absence of lymphadenopathy or systemic symptoms does not exclude bone marrow infiltration by lymphoma.Early recognition and accurate diagnosis of atypical lymphoma presentations are essential to avoid treatment delays and improve patient outcomes.Bone marrow biopsy plays a crucial role in diagnosing occult B-cell lymphoma in cases lacking systemic symptoms or lymphadenopathy.