9e3020b22f71656a0ebc1c2475304e82 12308_2026_Article_704.pdf 896b3fd697c4f3c9d5daed83904aa785ffd393a2 12308_2026_Article_704.pdf d2a66a5e206afc28c2b61704f1ff556eda45a05adc7fc0530e456c6de162f2f3 12308_2026_Article_704.pdf Title: When pseudo–Richter transformation hits the spleen: a case report and literature review Subject: Journal of Hematopathology, https://doi.org/10.1007/s12308-026-00704-7 Keywords: Chronic lymphocytic leukemia;Pseudo-Richter;Splenic rupture;Ibrutinib Author: Ricard Onieva Creator: Adobe InDesign 15.1 (Windows) Producer: Adobe PDF Library 15.0; modified using iText® 5.5.13.4 ©2000-2024 iText Group NV (SPRINGER SBM; licensed version) CreationDate: Tue Jun 2 20:36:04 2026 CEST ModDate: Tue Jun 2 23:55:30 2026 CEST Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 4 Encrypted: no Page size: 595.276 x 790.866 pts Page rot: 0 File size: 937738 bytes Optimized: no PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- MyriadPro-SemiCn Type 1C WinAnsi yes no yes 17 0 MyriadPro-Semibold Type 1C Custom yes no yes 157 0 MyriadPro-SemiboldSemiCn Type 1C Custom yes no yes 48 0 MyriadPro-Bold Type 1C Custom yes no yes 19 0 KRJLGE+STIX-Regular Type 1C Custom yes yes yes 18 0 STIX-Italic Type 1C WinAnsi yes no yes 20 0 VTJFSW+Wingdings-Regular Type 1C WinAnsi yes yes yes 158 0 NEAOAJ+MyriadPro-SemiCn2 Type 1C WinAnsi yes yes yes 198 0 STIX-Bold Type 1C WinAnsi yes no yes 49 0 MyriadPro-BoldSemiCn Type 1C WinAnsi yes no yes 113 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-08-01 05:18:08 CEST RepresentationInformation: 12308_2026_Article_704.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-07-31 14:40:37 CEST Size: 937738 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 219 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: en-US Outlines: Item: Title: When pseudo–Richter transformation hits the spleen: a case report and literature review Children: Item: Title: Abstract Item: Title: Introduction Item: Title: Clinical history Item: Title: Materials and methods Item: Title: Results Item: Title: Discussion Item: Title: Conclusions Item: Title: References Info: Title: When pseudo Richter transformation hits the spleen: a case report and literature review Author: Ricard Onieva Subject: Journal of Hematopathology, https://doi.org/10.1007/s12308-026-00704-7 Keywords: Chronic lymphocytic leukemia;Pseudo-Richter;Splenic rupture;Ibrutinib Creator: Adobe InDesign 15.1 (Windows) Producer: Adobe PDF Library 15.0; modified using iText® 5.5.13.4 ©2000-2024 iText Group NV (SPRINGER SBM; licensed version) CreationDate: Tue Jun 02 20:36:04 CEST 2026 ModDate: Tue Jun 02 23:55:30 CEST 2026 ID: 0x504fd99249beb745bcde8034ac037009, 0x807e628c4f7619d0927dab043790f178 Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1500 ImageHeight: 907 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Fonts: Type1: Font: BaseFont: MyriadPro-SemiboldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiboldSemiCn Flags: Nonsymbolic FontBBox: -131, -250, 1115, 886 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-SemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiCn Flags: Nonsymbolic FontBBox: -128, -250, 1059, 876 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: STIX-Bold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: STIX-Bold Flags: Serif, Nonsymbolic FontBBox: -998, -552, 2000, 1055 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-BoldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-BoldSemiCn Flags: Nonsymbolic FontBBox: -133, -250, 1161, 894 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: KRJLGE+STIX-Regular FontSubset: true FirstChar: 27 LastChar: 243 FontDescriptor: FontName: KRJLGE+STIX-Regular Flags: Serif, Nonsymbolic FontBBox: -970, -486, 2208, 1023 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-Bold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Bold Flags: Nonsymbolic FontBBox: -163, -250, 1256, 989 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: STIX-Italic FirstChar: 0 LastChar: 255 FontDescriptor: FontName: STIX-Italic Flags: Serif, Nonsymbolic, Italic FontBBox: -970, -305, 1429, 1023 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-Semibold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Semibold Flags: Nonsymbolic FontBBox: -161, -250, 1198, 972 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: VTJFSW+Wingdings-Regular FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: VTJFSW+Wingdings-Regular Flags: Nonsymbolic FontBBox: 0, -103, 1359, 439 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true XMP: Springer Berlin Heidelberg Journal of Hematopathology, https://doi.org/10.1007/s12308-026-00704-7 Chronic lymphocytic leukemia Pseudo-Richter Splenic rupture Ibrutinib When pseudo–Richter transformation hits the spleen: a case report and literature review Ricard Onieva Laura Rama Carmen Blázquez Rut Astorga Laura Escudero Maria Elena Ramila M. 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