Patient, 86 years old, admitted for examination to the hematology department. In CBC: leukocytosis, thrombocytopenia, anemia, anisocytosis, poikilocytosis, normoblasts. In bone marrow biopsy: 10% blasts, proliferation of erythroid lineage cells with signs of dyserythropoiesis – megaloblastoid changes, multinuclearity, cytoplasmic vacuolization; mononuclear megakaryocytes are present. MDS can be suspected. Cytogenetic testing is recommended.
🙏 The publication was kindly provided by KDL physician Nana Novikova, CHUZ “KB” RZHD-Meditsina" Smolensk.








