Hema (AML M0-M7) Flashcards
Undifferentiated blasts in BM and PBS, AML—not otherwise categorized
AML Undifferentiated/Minimally Differentiated (M0)
30% blast cells – indistinguishable
AML Undifferentiated/Minimally Differentiated (M0)
% blast cells in M0
as indistinguishable
30%
M0 constitutes ___ of AML
5%
Age group for M0
Adults
blasts show no myeloid differentiation
medium-sized, have an agranular basophilic cytoplasm, round or slightly indented nuclei with 1 or 2 nucleoli, and dispersed chromatin
AML Undifferentiated/Minimally Differentiated (M0)
<3% of blasts react to Sudan black, a-naphthyl acetate, or stains that
detects myeloperoxidase
AML Undifferentiated/Minimally Differentiated (M0)
M1 constitutes ___% of AML
10%
Age group for M1
Adults
Azurophilic granules and Auer rods in the cytoplasm of the blast may suggest their myeloid nature
AML Differentiated without maturation (M1)
In other cases, the blasts resemble lymphoblasts, from which they are differentiated by positivity to myeloperoxidase stains or Sudan black in at least 3% of blast cells
AML Differentiated without maturation (M1)
M2 constitutes ___% of AML
30-45%
Age group for M2
ALL ages
Blasts may show azurophilic granules and Auer rods, and evidence of maturation is present
AML with maturation (M2)
> 10% of marrow cells being promyelocytes, myelocytes, and mature neutrophils
AML with maturation (M2)
In M2, >10% of marrow cells are
promyelocytes,
myelocytes,
mature neutrophils
In M2, <20% of marrow cells are
monocytes
< 20% being monocytes
AML with maturation (M2)
Neutrophils may show abnormally increased or decreased segmentation and lobulation
Basophils, eosinophils, and mast cells may be increased
AML with maturation (M2)
Highest number of Auer rods, collectively named as Faggot cells/Firewood cells (bundles)
AML Promyelomonocytic (M3)
30% blasts, >10% granulocytic lineage and >10% Promyelocytes
AML Promyelomonocytic (M3)
% blasts in M3
30%