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ASH Image Bank (2008); doi:10.1182/ashimagebank-2008-8-00123
Copyright © 2008 by the American Society of Hematology.
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Atlas Image Set

Pheresis collection post G-CSF therapy

John Lazarchick, M.D.


Figure 1
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Figure 1. A Wright stained smear prepared from a pheresis stem cell collection bag is shown. The donor had received prednisone and G-CSF prior to the collection. Immature mononuclear cells, most with granular cytoplasm, are present. The pheresis cell collection is then analyzed by flow cytometric analysis to determine CD34 content.

 

Figure 2
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Figure 2. Myeloid cells at all stages of differentiation (blast to band forms) are shown in this image. Of note is the hypergranularity of the cytoplasm in the more differentiated forms. The granules have a distinct violaceous hue that is characteristic of G-CSF therapy. In addition, there are immature forms present that have the morphologic appearance suggesting monocytic lineage with cytoplasmic vacuolization and irregular nuclear borders.

 

Figure 3
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Figure 3. A higher magnification of the previous image is shown illustrating in detail the characteristic morphologic features of the myeloid response following G-CSF stem cell mobilization.

 

Figure 4
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Figure 4. A dual esterase histochemical stain (chloroacetate esterase for myeloid cell and butyrate esterase for monocytoid cells) of a blood smear made from the collection bag is shown. Myleoid lineage cells have a magenta color while monocytoid lineage cells stain black. The predominant cells type is myeloid, however, monocytoid cells are also present.

 

Figure 5
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Figure 5. Magenta staining myeloid cells at all stages of maturation are shown. Platelets and the two lymphocytes in this view show no stain.

 

Figure 6
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Figure 6. A single cell of monocytic lineage (black stain - arrow) is shown in this view.

 

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Peripheral blood response to G-CSF
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ASH Image Bank 2008 2008: 800124. [Full Text]

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Related ASH-SAP Chapter:space logo
Chapter 3: Hematopoietic growth factors

This Article
Right arrow Figures Only
Services
Right arrow Similar articles in this journal
Right arrow Alert me to new content in the Image Bank
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lazarchick, J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Lazarchick, J.
Related Collections
Right arrow Plasmapheresis
Right arrow Effect of G-CSF, GM-CSF
Right arrow Stem cell/Bone marrow
Right arrow Related ASH-SAP Chapter
Right arrowRelated Image Bank Image Set
Right arrowRelated ASH Education Book Articles
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Copyright © 2008 by the American Society of Hematology.