I got the results of the morphology NEQAS today…
2107 BF1
I was presented with a blood film ostensibly from a 61-year-old female with Hb 129 and Wbc 185
The film showed lymphocytosis with many smear
cells
There was some poikilocytosis with crenated
cells
The platelet count looked normal, but there
were some clumps present
This looked to be a case of CLL… It was – and I’d spotted the salient features
2107 BF2
I was presented with a blood film ostensibly from a 67-year-old male with Hb 137 and Wbc 6.9
There was a reversed neutrophil/lymphocyte
ratio with reactive lymphocytes seen together with some smear cells and
occasional sezary cells
There were target cells and some echinocytes and
Howell-Jolly bodies
There were giant platelets present
This was possibly Sezary’s syndrome… this was actually a case of Sezary’s syndrome. Again I’d spotted the salient features
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