Notes
Notes - notes.io |
PERIPHERAL BLOOD COUNTS:
HB: 8.1 G/DL
HCT: 27.0 %
MCV: 101.5 FL
MCH: 30.5 PG
WBC: 7.9 x 10E9/L
ANC: 1.2 x 10E9/L
PLATELETS: 38 x 10E9/L
PERIPHERAL BLOOD FILM: Dimorphic blood picture. Shows anisocytosis and macrocytosis. 75% blast cells seen. Platelets are low on film.
BONE MARROW ASPIRATE: Hypercellular specimen predominantly exhibiting granulocytic hyperplasia. M:E ratio is 40:1. Features of dysmyelopoiesis in the form of giant cells are also noted. Megakaryocytes seen. 3% blast cells seen. No non-hematopoietic clump or hemoparasite identified on the stained smear examined.
BONE TREPHINE TOUCH PREP: Thick, hypocellular touch imprint.
BONE TREPHINE (H&E) SECTIONS: Good length specimen showing intact architecture, area of fibrosis and hypercellularity for age. Overall cellularity is around 90-95%. Cellular areas show granulocytic hyperplasia with relatively suppressed erythroid precursors. Adequate megakaryocytes seen. No granuloma identified in the sections examined.
RESULTS OF IMMUNOHISTOCHEMICAL STAINS:
CD34 : Negative
TDT : Negative
CD3 : Reactive (highlighting normal T-cell population)
CD20 : Negative
RESULTS OF RETICULIN STAIN: Shows grade MF-II reticulin fiber pattern.
OPINION: Peripheral film shows 75% blasts while only 3% blast on aspirate and lymphohistiocytic background on trephine with inconclusive immunohistochemistry. Findings of aspirate doesn't correlate with the peripheral and as well as trephine.
Suggest a repeat good length trephine along with cellular aspirate for proper evaluation, which will be charged on the same HN number free of charge.
DR. MUHAMMAD SALMAN ARIF, DR. NATASHA ALI,
M.B.B.S F.C.P.S (HAEMATOLOGY),
RESIDENT HAEMATOLOGY CONSULTANT HAEMATOLOGIST
|
|
Notes.io is a web-based application for taking notes. You can take your notes and share with others people. If you like taking long notes, notes.io is designed for you. To date, over 8,000,000,000 notes created and continuing...
With notes.io;
- * You can take a note from anywhere and any device with internet connection.
- * You can share the notes in social platforms (YouTube, Facebook, Twitter, instagram etc.).
- * You can quickly share your contents without website, blog and e-mail.
- * You don't need to create any Account to share a note. As you wish you can use quick, easy and best shortened notes with sms, websites, e-mail, or messaging services (WhatsApp, iMessage, Telegram, Signal).
- * Notes.io has fabulous infrastructure design for a short link and allows you to share the note as an easy and understandable link.
Fast: Notes.io is built for speed and performance. You can take a notes quickly and browse your archive.
Easy: Notes.io doesn’t require installation. Just write and share note!
Short: Notes.io’s url just 8 character. You’ll get shorten link of your note when you want to share. (Ex: notes.io/q )
Free: Notes.io works for 12 years and has been free since the day it was started.
You immediately create your first note and start sharing with the ones you wish. If you want to contact us, you can use the following communication channels;
Email: [email protected]
Twitter: http://twitter.com/notesio
Instagram: http://instagram.com/notes.io
Facebook: http://facebook.com/notesio
Regards;
Notes.io Team
