9 March 2022 (Wednesday) - NEQAS 2201 BF

The result of NEQAS 2201 BF became available today.

2201 BF1

 

I said   Thrombocytosis Neutrophilia Rouleaux Vacuolated monocytes Occasional echinocyte     I felt this was a reactive picture

Consensus (seen by)   Thrombocytosis  524 Neutrophilia  399 Hypersegmented Neutrophils 305 Rouleaux  288 Myelocytes  249 Large/Giant Platelets  117 Monocytosis  108 Platelet Anisocytosis  72 Left Shift  66 Blast Cells  47

 

Well… four of my top five comments were there. And as for the diagnosis:
“This patient had a history of a treated community acquired pneumonia… The reactive blood picture in these circumstances…”
No need for undue alarm here.

 

2201 BF2

 

I said   Thrombocytopenia Blast cells Monocytosis Sezary cells Auer rods     I felt this was either a case of myelomonocytic leukaemia of or (possibly) Sezary syndrome

Consensus (seen by)   Thrombocytopenia  483 Blast Cells  480 Nucleated RBCs  348 Monocytosis  335 Promonocytes  270 Myelocytes  165 Promyelocytes  90 Neutropenia  46 Auer Rods  29 Cleft Nuclei  29

 

I’d spotted that which needed spotting. And as for the diagnosis:
“The morphological diagnosis in this case is therefore acute monocytic leukaemia”
Perhaps not spot-on, but close enough to know that I’d need to sound the alarm bells.