Case #79

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Submitted by Ahmad Alkhasawneh
Possible blasts in blood
77-year-old man with history of chronic pancytopenia and macrocytosis. No prior therapy. 7% Atypical cells were noted in the differential count (see images).CBC result, representative cells from differential and representative bone marrow are provided. #Note: Subclassification is required. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
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2023-01-25 22:45:19

I do not know the correct answer for this case so it will not display the other tests like the other cases do. Would it be possible to have additional information such as flow? With this few a number of abnormal lymphs I do not think a diagnosis could be made based on the peripheral wright's stain smear and a bone marrow H&E.


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Ramona Abraham
2023-01-25 22:45:19

I do not know the correct answer for this case so it will not display the other tests like the other cases do. Would it be possible to have additional information such as flow? With this few a number of abnormal lymphs I do not think a diagnosis could be made based on the peripheral wright's stain smear and a bone marrow H&E.