Hematology Case 35
Hematology Case 35
Presented By Dr Mohammad Moharram
Released on 12-5-2020Patient Data
Patient Data
6 year old boy.
Clinical Data
Clinical Data
Patient referred from a central hospital with pancytopnea.
Related Laboratory Results
Related Laboratory Results
Pancytopnea as reported in referral form.
Bone marrow aspirate and immunophenotyping see below.
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
Bone marrow aspirate smear is normocellular and infiltrated by 32% blast cells.
Blast cells : small to medium-sized with scant cytoplasm and inconspicuous nucleoli.
Immunophenotyping was done and result is above (Picture). The gated blasts are 30.4% using CD45/SSC gating strategy.
Final Diagnosis
Final Diagnosis
30.4% gated blasts express an immunophenotype suggestive of Early Precursor acute lymphoblastic leukemia (ETP-ALL)