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Oncohematology

Acute Leukemia in CBC: Blastemia and Cytopenia

A case of acute leukemia: hyperleukocytosis 281.9×10⁹/L, anemia, thrombocytopenia, and 84% blasts. Morphology of blast cells in peripheral blood smear.

Ilya Sergeenko Ilya Sergeenko 1 min
Blood smear: pronounced blastemia with a predominance of monomorphic rounded blasts
Blood smear: pronounced blastemia with a predominance of monomorphic rounded blasts
Blood smear: cluster of blast cells and a destroyed leukocyte in the center of the field
Blood smear: cluster of blast cells and a destroyed leukocyte in the center of the field
Blood smear: blasts with delicate chromatin and visible nucleoli
Blood smear: blasts with delicate chromatin and visible nucleoli
Blood smear: blast cells against a background of marked absence of platelets
Blood smear: blast cells against a background of marked absence of platelets
Blood smear: cluster of blasts on the right and a cell with a more mature nucleus at the top of the field
Blood smear: cluster of blasts on the right and a cell with a more mature nucleus at the top of the field
Blood smear: chain of blast cells with a high nuclear-cytoplasmic ratio
Blood smear: chain of blast cells with a high nuclear-cytoplasmic ratio
Blood smear: compact group of blasts with deformation of cell contours
Blood smear: compact group of blasts with deformation of cell contours

First-diagnosed acute leukemia in a patient admitted with a closed head injury. In the CBC: anemia (Hb 96g/L), pronounced leukocytosis (281.9 × 109/L), thrombocytopenia (15 × 109/L). BLASTS 84%

🙏 The publication was kindly provided by Ilya Sergeenko, Belarus, Polotsk. Paramedic-laboratory assistant of the on-duty laboratory of Polotsk Central City Hospital.

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