Mystery cells, case #8

Here is something interesting found on a CellaVision DM96 in San Diego, CA:

A 30 year old male walked into ER with fever and lethargy.

The patient details:

  • WBC 48.6
  • PLT 83
  • HGB 10.8
  • HCT 31.8

After running the man’s blood smear on the CellaVision DM96 the laboratory also reported 4 NRBC’s, 1 Plasma Cell and 60% Blast Cells.

What do you think about the man’s condition?

30 thoughts on “Mystery cells, case #8”

  1. Possible Acute Myelo-Monocytic Leukaemia but APL would need to be excluded. Agree that the international reporting units should be reported.

  2. I agree with you,we should use correct SI units and the abbreviations advised by the International Council for Standardisation in Haematology.

  3. You can always be fooled by a M3 that looks like and M4 or M5 on the peripheral smear! I would look for “butterfly” or “cup” cells to r/i M3.

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