Cell Case #19

This Cell Case presents a 56 year old male. He came to the hospital with fatigue and dyspnoe d’effort complaints.

Result from the cellcounter:

A (macrocytic; MCV 117) anemia (7,3 g/dL) was detected and the cell counter flagged for an abnormal leukocyte population present. Leukocyte count was slightly elevated (15×109/L) with a mild thrombocytopenia (100 x109/L).

The cells looked like this:


Do you know the diagnosis?  Please post your suggestion!

/ The CellaVision Blog Team

About the CellaVision Blog

This blog is created by CellaVision for laboratory professionals with a particular interest in hematology and digital cell morphology. Our aim is to inform, educate and inspire in equal measures – by highlighting interesting articles, sharing interesting patient cases and cell images, and presenting inspiring success stories from our community of CellaVision-users from around the world.

24 thoughts on “Cell Case #19”

  1. These cells look like lymphoblasts. Not especially large, but with the fine chromatin in the nucleus and shape. It would be nice to see what, if any, normal leukocytes were present.

  2. Sure looks like an Acute Myelogenous Leukemia. These blasts are truly beautiful. I love the fine chromatin and large N:C ratio with basophilic cytoplasm. Anemia and thrombocytopenia are side effects of leukemia. I suspect the bone marrow would certainly be full of blasts with this peripheral picture. The blasts are not crowded on the slide because of the decreased RBC count, leaving more “white space” between cells. Thank you for posting this case.

  3. it seems to me that the four pictures are beautiful blast cells: acute myeloid leukemia (FAB classification M1) if all those white blood cells in the slide have the same appearance.

Leave a Reply to GMUELLER Cancel reply

Your email address will not be published.


I confirm that I have read and accept Membership Terms & Conditions and CellaVision’s Privacy Policy

I give CellaVision permission to contact me about other things not directly related to my membership

Do you have an interesting story to share?