A month
ago I looked at NEQAS digital morphology 2205DM when I said (well, wrote
down)
Rbc:
Hypochromic
microcytic with NRBC, polychromasia, tear drop cells and stomatocytes
Wbc:
Blast cell
(bottom left) with dysplastic neuts
Plt:
Plts low
but not massively low
Needs
urgent referral,
I got the
results today…
“This film
showed circulating blast cells which should prompt you to report the case
urgently as a likely representing an acute leukaemia, the additional features
of the case should also lead you to suspect a dysplastic element and a possible
underlying myelodysplasia. It is vital that the patient has urgent medical
review with bone marrow examination, and a diagnosis of probable acute
leukaemia should be suggested. The other myeloid abnormalities are important to
treatment choice, but should be confirmed when the bone marrow is examined.
However, their presence can be taken as additional evidence for myeloid lineage”.
Bearing in
mind just how little information we get when presented with these cases, I
think I did OK…
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