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ASH Image Bank (2009); doi:10.1182/ashimagebank-2009-9-00039
Copyright © 2009 by the American Society of Hematology.
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Atlas Image Set

AML with t(15;17)(q22;q21), microgranular variant

John Lazarchick, M.D.


Figure 1
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Figure 1. Peripheral smear from a patient with microgranular variant of AML-M3 (WHO AML with t('15;17)(q22;q12). The microgranular promyelocyte on the left has the classical bilobed nuclear shape with scant azurophilic granules in the cytoplasm. A faggot cell is shown in the middle with bundles of Auer rods. The promyelocyte on the right has a loculated, cerebriform-like nucleus and a few azurophilic granules.

 

Figure 2
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Figure 2. The faggot cell is shown at higher magnification better illustrating the bundles of Auer rods.

 

Figure 3
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Figure 3. Bone marrow aspirate from this case shows the spectrum of nuclear shapes characteristic of microgranular AML-M3. Blast cells with high nuclear/cytoplasmic ratios can be seen in the center of the image. Bilobed promyelocytes are scattered throughout thesmear showing variable cytoplasmic granularity. A few promyelocytes have a irregular cerebriform nuclear shape. One of the abnormal promyelcytes shows cytoplasmic vacuolization.

 

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Related ASH-SAP Chapter:space logo
Chapter 10: Acute myeloid leukemia

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Right arrow Articles by Lazarchick, J.
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PubMed
Right arrow Articles by Lazarchick, J.
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Right arrow Acute Myeloid Leukemia
Right arrow Related ASH-SAP Chapter
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Right arrowRelated ASH Education Book Articles
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Copyright © 2009 by the American Society of Hematology.