Quiz 1
What word describes changes in Red Blood Cell shape?
December 2023
Monthly Digital Case Study
December Slides
Slide 1 Review Continued
Quiz
(PDF for print)
Male 80 years old.
Deterioration of health state.
Hyperleukocytosis+
Thrombocytopenia
Leucocyte differential with alarm
Additional information
Highly degranulated / agranulated Neutrophil. Thrombocytopenia
Majority population of mostly granular blasts (estimated at 80% of leukocytes), in favor of Acute Myeloid Leukemia.
Expert’s comment: AML probably AML 1/2.
WBC 89.1 (10^3/mm3) | Neutrophils 11.9 (%) |
RBC 3.48 (10^6/mm3) | Lymphocytes 1.5 (%) |
HGB 11.9 (g/dL) | Monocytes 3.0 (%) |
HCT 35.3* (%) | Eosinophils - |
MCV 102 (fL) | Basophils - (%) |
MCH 34.2 (pg) | Blasts 83.6 (%) |
MCHC 33.7 (g/dL) | |
PLT 46* (10^3/mm3) |
The term AML M1 or M2 relates to the French-American-British (FAB) groups classification of Acute Leukemia's and Myelodysplastic Syndromes. The FAB classification was developed in the 1970’s firstly as an aid to differentiate Acute Lymphoid from Acute Myeloid Leukemia, classification is based solely on the cytochemical morphology of cells to elucidate their lineage and maturation. In the 1980’s further development of the FAB classification sub divided the Acute Myeloid Leukemia's into 8 categories based upon the morphological features of the cells:-
M0 – AML with minimal evidence of differentiation
M1 – Poorly differentiated no Myeloid maturation
M2 – Myeloblastic with some Myeloid maturation
M3 and M3v – Promyelocytic Leukemia
M4 – Acute Myelomonocytic leukemia
M5a and M5b – Monoblastic Leukemia
M6 – Erythroblastic Leukemia
M7 – Megakaryoblastic Leukemia
With the development of techniques such as cytogenetics and immunophenotyping the World Health Organization (WHO) proposed a new classification which was based on the genetic, immunophenotypic, biological and clinical features of patients to better define specific disease entities.
AML with myelodysplastic syndrome, therapy related
AML with recurrent genetic abnormalitiese.g. AML with t(8;21)(q22;q22), AML1(CBFA)-ETO fusion gene, Acute Promyelocytic Leukemia (AML with t(15;17)(q22;q11-12) and PML-RARA fusion gene or variants with RARA .
AML with multilineage myelodysplasia
AML Not Otherwise Categorized.in such cases the FAB classification is used.
Let’s see what we remember for the previous cell quiz questions and morphology articles.
Do you have any questions or requests? Use this form to contact our specialists.