MICROSCOPIC DESCRIPTION:
| WBC | 8.8 10x9/L |
| RBC | 2.35 10x12/L |
| Hgb | 7.2 g/dL |
| Hct | 21.7 % |
| MCV | 92.4 fL |
| MCH | 30.8 fL |
| MCHC | 33.3 g/dL |
| RDW | 13.5 % |
| PLT | 167 10x9/L |
| Retic | 1.0 % |
| Retic | 0.222 10x12/L |
| Cell Type | Percentage | Abs. No. |
|---|---|---|
| Polys | 84 % | 7.40 |
| Bands | 4 % | 0.35 |
| Lymphs | 8 % | 0.70 |
| Atyp. Lymphs | ||
| Monos | 4 % | 0.35 |
| Eos | ||
| Baso | ||
| Blasts | ||
| Promyelos | ||
| Myelos | ||
| Metamyelos | ||
| NRBC/100 WBC |
The peripheral blood smear was reviewed.
RED BLOOD CELL MORPHOLOGY: The red blood cells show slight anisocytosis, slight hypochromia, slight macrocytosis, occasional microcytes, moderate ovalocytes , moderate poikilocytosis, and rare polychromasia.
PLATELETS are adequate with occasional giant forms seen.
BONE MARROW: The marrow aspirate smear is adequate (2 aspirate smears and 1 touch imprint reviewed). The marrow biopsy is adequate.
| Blasts | 0.7% | |
| Promyelos | 9.3 % | |
| Myelos | 13.7 % | |
| Metamyelos | 13.7 % | |
| Bands | 16.3 % | |
| PMN | 12.0 % | |
| Eos Myelo/Metas | 1.3 % | |
| Eos Bands | 0 % | |
| Eos Segs | 2.3 % | |
| Basos | 0 % | |
| Monos | 1.0 % | |
| Pronormos | 1.7 % | |
| Normos | 14.3 % | |
| Lymphos | 16.0 % | |
| Plasma Cells | 5.7 % | |
| Others | 0 % | |
| Myeloid:Erythroid Ratio 4.4 | ||
| Total # of cells counted: 300 | ||
The marrow is normocellular (approximately 30% cellular) . Numerous Gaucher or pseudo-gaucher cells are seen, focally in clusters. Occasional erythrophagocytosis and nuclear debris within these cells is seen. Mast cells and plasma cells appear mildly increased. The myeloid/erythroid ratio is increased. Erythroid maturation is complete. Myeloid maturation is complete. Megakaryocytes are present in normal numbers. Stainable iron is abundant. There are no ringed sideroblasts identified. The bony trabeculae show osteoblastic rimming.
Final Diagnoses