| Case 6 | Hematopathology Cases |
| CLINICAL INFORMATION | ||
| 56 year-old male had a history of CML two years ago and bone marrow biopsy at that time revealed no blasts. A subsequent bone marrow biopsy and aspirate was performed two years later. | ||
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| PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION | ||
| WBC, 76.44 K/uL NEUTR, 1.0%, LYMPH, 8.0%, BLASTS, 90.0%, RBC, 4.11 M/uL HGB, 13.2 g/dL HCT, 37.6 % MCV, 91.5 fL MCH, 32.1 pg RDW, 15.7 % PLT, 134 K/uL | ||
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| Previous peripheral blood. Wright-Giemsa, 100× | Previous peripheral blood. Wright-Giemsa, 100× | |
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| Previous peripheral blood. Wright-Giemsa, 100× | Previous peripheral blood. Wright-Giemsa, 100× | |
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| Current peripheral blood. Wright-Giemsa, 100× | Current peripheral blood. Wright-Giemsa, 100× | |
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| Current peripheral blood. Wright-Giemsa, 100× | Current peripheral blood. Wright-Giemsa, 100× | |
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| Current peripheral blood. Wright-Giemsa, 100× | Current peripheral blood. Wright-Giemsa, 100× | |
| BONE MARROW ASPIRATE AND TOUCH IMPRINT | ||
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| Wright-Giemsa, 100× | Wright-Giemsa, 100× | |
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| Wright-Giemsa, 100× | Wright-Giemsa, 100× | |
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| Wright-Giemsa, 100× | ||
| BONE MARROW CORE BIOPSY AND CLOT | ||
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| HE, 4× | HE, 10× | |
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| HE, 20× | HE, 40× | |
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| HE, 40× | ||
| FLOW CYTOMETRY | ||
| Pending figures (Report next page) | ||
| CYTOGENETICS (UNMC, Cytogenetics) | ||
| Pending karyogram (Report next page) | ||
| Source: Department of Pathology, Creighton University Medical Center, Omaha, NE Photo: Zenggang Pan Interpretation: Dr. Sotomayor Discussion: Zenggang Pan | ||