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Case 288 - Discussion

Hematopathology Case

 

Markedly left shifted granulopoiesis due to Neupogen treatment effect.

The promyelocytes account for 50-60% of marrow cells.

The patient was followed up with no further therapy, and another bone marrow biopsy several months later showed normal trilineage hematopoiesis (See below.)

 

Bone marrow aspirate smear. Wright-Giemsa, 20

Bone marrow aspirate smear. Wright-Giemsa, 40

Bone marrow core biopsy. HE, 10

Bone marrow core biopsy. HE, 20

 

 

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