Two months ago I did the morphology NEQAS 2108 BF. The results came in today:
I wrote “I can't see anything amiss... I shall look forward to the answer to see
what I missed”.
It would seem that I missed nothing. It was a “normal” blood film.
I commented (top 5) Top Consensus Features
Blast cells Blast cells
Myelocytes NeutropeniaThrombocytopenia Nucleated red cells
Tear drop cells Promyelocytes
I was a tad stumped here. I plumped for a case of MDS but whatever it was would have needed an urgent referral. It turned out sixty per cent of participants didn’t realise it was an obscure form of APML, but is it fair to judge us on a diagnosis that we don’t make?
A colleague did tell me he saw Auer rods in the blood film, I wasn't convinced but apparently they were there…