CLINICAL INFORMATION

56 years old male, pancytopenia and bone pain. Bone marrow biopsy and aspirate.

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

    WBC, 2.5 K/uL 

       NEUTR,   1.0 K/uL      

       LYMPH,   1.2 K/uL      

       MONO,    0.2 K/uL    

    RBC, 3.08 M/uL 

    HGB, 9.0  g/dL

    MCV,   86 fL   

    MCH, 29.2 pg

    RDW, 12.3 %  

    PLT,   29 K/uL

Wright-Giemsa, 100×

Wright-Giemsa, 100×

Wright-Giemsa, 100×

BONE MARROW ASPIRATE AND TOUCH IMPRINT

Wright-Giemsa, 100×

Wright-Giemsa, 100×

BONE MARROW CORE BIOPSY AND CLOT

HE, 10×

HE, 20×

HE, 40×

HE, 40×

FLOW CYTOMETRY

Click here for diagnosis and case discussion.

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

Photo: Zenggang Pan

Discussion: Zenggang Pan