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Case 6

Hematopathology Case

CLINICAL INFORMATION

 

A 56-year-old male had a history of CML two years ago and the bone marrow biopsy at that time revealed no increase in blasts. A subsequent bone marrow biopsy and aspirate was performed two years later.

 

 

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

 

    WBC, 76.44 K/uL 

       NEUTR,    1.0%,      

       LYMPH,    8.0%,      

       BLASTS,  90.0%,     

    RBC,  4.11 M/uL 

    HGB,  13.2 g/dL

    HCT,  37.6 %  

    MCV,  91.5 fL   

    MCH,  32.1 pg

    RDW,  15.7 %  

    PLT,   134 K/uL

 

 

Previous peripheral blood. Wright-Giemsa, 100

Previous peripheral blood. Wright-Giemsa, 100
 

 

Previous peripheral blood. Wright-Giemsa, 100

Previous peripheral blood. Wright-Giemsa, 100
 

 

Current peripheral blood. Wright-Giemsa, 100

Current peripheral blood. Wright-Giemsa, 100
 

 

Current peripheral blood. Wright-Giemsa, 100

Current peripheral blood. Wright-Giemsa, 100
 

 

Current peripheral blood. Wright-Giemsa, 100

Current peripheral blood. Wright-Giemsa, 100
 

CURRENT BONE MARROW ASPIRATE AND TOUCH IMPRINT

   
 

 

Wright-Giemsa, 100

Wright-Giemsa, 100
 

 

Wright-Giemsa, 100

Wright-Giemsa, 100
 

 
 

Wright-Giemsa, 100

 
 

CURRENT BONE MARROW CORE BIOPSY AND CLOT SECTION

 
 

 

HE, 4

HE, 10
 

 

HE, 20

HE, 40
 

 
 

HE, 40

 
 

Click here for diagnosis and discussion.

 

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