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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3689.

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BLOOD WORK

Dysplastic polychromatic "snowmoblast"

A 69-year-old man was found to have pancytopenia. His hemoglobin level was 118 g/L with a normal mean corpuscular volume, white cell count 3.4 x 109/L, neutrophil count 1.7 x 109/L and platelet count 83 x 109/L. Blood smear showed dysplastic neutrophils, and the bone marrow aspirate confirmed myelodysplastic syndrome with 8% blasts (RAEB-1). He had trilineage dysplastic changes with prominent micromegakaryocytes and dyserythropoiesis. The nuclei of one of these dysplastic, polychromatic normoblasts took on the form of a snowman and is shown in the figure. Cytogenetic analysis revealed complex karyotype with rearrangements of chromosomes 7, 12, and 20, resulting in a partial deletion of 20q.Go


Figure 1
space Figure 1 Jiri Pavlu and Nicki Panoskaltsis, Imperial College London
 
[View Larger Version of this Image (120K GIF file)]


 

logo space space The above image was first published in the ASH IMAGE BANK, a reference and teaching tool that is continually updated with new atlas images and images of case studies. For more information or to contribute to the Image Bank, visit ashimagebank.hematologylibrary.org.


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