Chronic myelogenous leukaemia - chronic phase
Autor*: A. Buliková
Description:
18-years old girl with accidentally found leukocytosis (67 G/l) and mild thrombocytosis (487 G/l). Mild splenomegaly could be detected only by ultrasonography. Diagnosis CML was proved by t(9;22) chromosomal abnormality and by BCR/ABL fusion gene in molecular genetic examination.
Zařazení*:
Chronic myeloid leukaemia, BCR/ABL 1 positive
Přílohy*:
CML - peripheral blood
Description: Myelocytes and neutrophil segments are predominant cells in peripheral blood smears.
Type: peripheral blood
Klíčová slova*: myelocyte, segmented granulocyte
CML - peripheral blood
Description: Leukocytosis, left shift in neutrophil maturation and one basophil. (at the 11 o'clock).
Type: peripheral blood
Klíčová slova*: basophil
CML - bone marrow, lower magnification
Description: Bone marrow hypercellularity, granulocytic hyperplasia. Two hypo-segmented and smaller megakaryocytes are shown underneath the centre of the picture.
Type: bone marrow
Klíčová slova*: megakaryocyte, hyposegmentation
CML - bone marrow, lowe magnification
Description: Hyper-cellular bone marrow with granulocytic hyperplasia and increased myeloid : erythroid ratio. The picture shows one smaller and hypo-segmented megakaryocyte at the middle.
Type: bone marrow
Klíčová slova*: megakaryocyte, hyposegmentation
CML - bone marrow
Description: The increase count of the smaller megakaryocytes with hypolobated nuclei is the typical change in megakaryocytic maturation in bone marrow.
Type: bone marrow
Klíčová slova*: megakaryocyte
CML - bone marrow
Description: Hyperplastic bone marrow with an increase of the granulocytic line and with two peaks in the percentages of myelocytes and segmented neutrophils.
Type: bone marrow
Klíčová slova*: myelocyte, segmented granulocyte