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Case 4

Hematopathology Case

Clinical information:

  A 24-year-old male had pancytopenia. Bone marrow biopsy and aspirate. CBC:

    WBC, 2.5 K/uL      

    RBC, 2.4 M/uL 

    HGB, 7.8 g/dL  

    MCV,   91 fL   

    RDW, 17.7 %  

    PLT,   8 K/uL

   
 
  Peripheral blood smear. Wright-Giemsa, 100
 
 

Bone marrow aspirate smear. Wright-Giemsa, 100

Bone marrow aspirate smear. Wright-Giemsa, 100

 
 

Bone marrow aspirate smear. Wright-Giemsa, 100

Bone marrow aspirate smear. Wright-Giemsa, 100
 
 

Marrow core biopsy. HE, 4

Marrow core biopsy. HE, 10

 
 

Marrow core biopsy. HE, 20

Marrow core biopsy. HE, 40

     
 

Click here for diagnosis and discussion

 

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