7 April 2021 (Wednesday) - NEQAS 2102BF


I got hold of the results for NEQAS 2102BF today. Here’s what I saw:  

  

  

2102 BF1  

  

Myelocytes  

Ranked 2  

Blast cells   

Ranked 3  

NRBC  

Ranked 1  

Thrombocytopenia with large platelets  

Ranked 6 & 9  

Macrocytosis  

  

anisopoikilocytosis  

  

Smear cells  

  

  

The ranked neutrophilia and monocytosis were evident from the diff count on 2101DF 

I felt this was CML – but the stain quality was poor 
The report read ““…final diagnosis is not possible but a myelodysplastic / myeloproliferative neoplasm (MDS/MPN) seems likely.“ 

What’s in a name…? 

  

2102 BF2  

  

Blasts 

Ranked 1 

Auer rods  

Ranked 2 

hypochromia  

 

microcytosis   

 

pencil cells  

Ranked 9-10 

nrbc - polychromasia  

 

Thrombocytopenia with large platelets  

Ranked 3 

 

I felt this was a myeloproliferative condition with iron deficiency 
The report read “The peripheral blood film 2102BF2 was prepared from a 78-year-old man with a known normal karyotype myelodysplastic syndrome”. 
I still maintain that film looked hypochromic and microcytic. Another example of why we should be given the entire Fbc report…

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