Case 13

Hematopathology Cases
 

CLINICAL INFORMATION

 

78 y/o male has been feeling fatigued and worsening SOB for 1-2 weeks with a WBC in the 90,000. A bone marrow biopsy and aspirate was performed.

 

 

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

 

         WBC, 90.0 K/uL 

            NEUTR,   3.0 %,     

            LYMPH,   7.0 %,     

            EOSIN,   1.0 %,     

            BLAST,  89.0 %,     

         RBC, 4.29 M/uL 

         HGB, 13.3 g/dL

         HCT, 38.1 %  

         MCV, 88.8 fL   

         MCH, 31.0 pg   

         MCHC,34.9 g/dL  

         RDW, 18.0 %  

         PLT,   62 K/uL 

 

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

BONE MARROW ASPIRATE AND TOUCH IMPRINT

   
 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

 
 
 

Wright-Giemsa, 100

Wright-Giemsa, 100
 

BONE MARROW CORE BIOPSY AND CLOT

 
 

Pending Pictures

 
 

HE, 20

HE, 40

 

 

 
 

 

 
 

FLOW CYTOMETRY

 

Pending Pictures, report next page.

 
     
     
     
     
     

CYTOGENETICS

 

 

 

Pending Pictures, report next page.

 
     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan