Case 23

Hematopathology Cases
 

CLINICAL INFORMATION

 

54 year-old gentleman, had newly onset of myocardial infarction. A bypass was scheduled for this patient, and before the procedure a CBC with differentiation was ordered. The peripheral blood smear occasionally revealed some suspicious atypical cells. A STAT bone marrow biopsy and aspirate was performed thereafter.

 

 

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

 

Pending

 

 

 

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

Wright-Giemsa, 100

 
 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

BONE MARROW CORE BIOPSY AND CLOT

 
 

 

HE, 4

HE, 40

 

 
 

PAS, 20

 

 

FLOW CYTOMETRY

     
  Figures pending, report next page  
     
     
     
     

CYTOGENETICS

 

 

  Figures pending, 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