2012-02-22
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”
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AMML
ACUTE MYELOMONOCYTIC LEUKEMIA
My guess is acute monocytic leucemia.
Possible Acute Myelo-Monocytic Leukaemia but APL would need to be excluded. Agree that the international reporting units should be reported.
Case 8: i think a AML M4
AMML
differential APML
I agree, AMML
AMML
I agree with you,we should use correct SI units and the abbreviations advised by the International Council for Standardisation in Haematology.
maybe AMML
i think the possible dx is AMML
I think it is a M5 maybee a m4
it is myelo monoblatic leukamia
Morphologic features suggestive of AML-M4
The peripheral smear exhibits the characteristic features of AMML (M4)
I agree, AMML
Acute promyelocytic Leukaemia
acute myelomonoblastic leukemia
AMML
Possible one of the acute mono leuks–but I wouldn’t rule out microgranular APL.
I agree it’s acute Myelo-Monocytic Leukemia
I think it’s AMML
Compatible imagen with myelomonoblastic leukemia (LMA-M4)
Acute MML
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.
I agree: AMML
May be AML-M5
AMMoL a form of acute AML
Igree , AMML
Possible Acute Myelo-Monocytic Leukaemia