Hematology Case 33
Hematology Case 33
Presented By Dr Ahmed S. Amer
Released on 24-4-2020Patient Data
Patient Data
15 year old female.
Clinical Data
Clinical Data
Loss of weight, Fatigue.
Vomiting
Splenomegaly
Related Laboratory Results
Related Laboratory Results
- CBC:
WBC: 250 X 103 /uL
HGB: 6.4 g/dL
MCV 102 fL
MCH 31 pg
Platelet: 12 X 103 /uL
- Peripheral Smear: See Below
Provisional Diagnosis
Provisional Diagnosis
Acute Leukemia
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
Blast cells : 80% ; Nucleus round-oval nuclei with coarse chromatin chromatin tends to aggregate into masses . Nucleoli are usually small and inconspicuous . Cytoplasm is basophilic, sparse in volume, usually without granules (rare non-specific granules) .
Final Diagnosis
Final Diagnosis
Picture of Acute lymphoblastic leukemia consistent with L1 for immunophenotyping (Acute Panel).
Additional Note
Additional Note
The patient has been refereed to higher center for further investigations.