Figure 1. A buffy coat preparation on the peripheral blood from a patient with confirmed mycosis fungoides is shown. A prolymphocytes is noted centrally but the majority of cells present are small lymphocytes with minimal cytoplasm. Nuclear detail can not be appreciated at this magnification. (Wright-Giemsa 40x)
Figure 2. At a higher magnification the irregularity of the nuclear borders of the cells are now readily seen. In addition, several of the cells show nuclear cleaving and the nuclei have a cerebriform appearance. The cells have a minimal amount of agranular basophilic cytoplasm. (Wright-Giemsa 100x)
Figure 3. The nuclear convolutions are most apparent in the cell in the center in this view. The cell to the left shows nuclear grooving with overlapping nuclear lobes.