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Case 2

Hematopathology Case

Clinical information:

 

A 49-year-old male had leukocytosis. Bone marrow biopsy.

  CBC:

    WBC, 43.7 K/uL 

       NEUTR   2.0%     

       LYMPH    21%   

       MONO    6.0%      

       EOSIN   1.0%     

       BLAST  20.0%     

    RBC  4.19 M/uL 

    HGB  11.1 g/dL

    HCT  31.7 %  

    MCV    76 fL   

    MCH  26.5 pg

    RDW  15.5 %  

    PLT    12 K/uL

     
 
 

Peripheral blood smear. Wright-Giemsa, 100

Peripheral blood smear. Wright-Giemsa, 100

 
  Peripheral blood smear. Wright-Giemsa, 100 Peripheral blood smear. Wright-Giemsa, 100
 
 

Bone marrow aspirate smear. Wright-Giemsa, 100

Bone marrow aspirate smear. Wright-Giemsa, 100

 
 

Bone marrow core biopsy. HE, 20

Bone marrow core biopsy. HE, 40

     
 

Click here for diagnosis and case discussion

 

Case from: Department of Pathology, Creighton University Medical Center, Omaha, NE