Histology FINAL Flashcards
hypochromic, microcytic red cells
hypochromic microcytic anemia of iron deficiency
Ringed Sideroblasts in bone marrow smear - iron in mitochondra
Sideroblastic Anemia
Basophilic Stippling, blood smear w/ ribosomal aggregates and nuclear remnants
Sideroblastic Anemia
Target Cells
Beta Thalassemia
hypersegmented neutrophil w/ 6-lobed nucleus and enlarged RBCs
Pernicious Anemia (B12)
hypersegmented neutrophil w/ 6-lobed nucleus and enlarged RBCs
Pernicious Anemia (B12)
spherocytes (no central pallor),
Hereditary Spherocytosis
elliptocytes, defect of rBC membrane cytoskeleton proteins (Spectrin)
Hereditary Elliptocytosis
low magnification shows sickle cells, and anisocytosis
HbC crystals on blood smear, target cells
Hemoglobin C
Warm agglutinin w/ spherocytes
RBC cold agglutination
Heinz bodies (denatured hemobglobin) and Bite Cells (splenic macrophages remove the heinz body inclusion s)
G6PD Deficiency
Schistocytes and helmet cells
Microangiopathic Hemolytic Anemia
Schistocytes and helmet cells
Microangiopathic Hemolytic Anemia
bone marrow: predominantly fat and few bone spicules
Aplastic Anemia
tear drop cells (dacrocytes)
Myelopthisic Anemia
replacement by tumor
Myelopthisic Anemia
bone marrow replaced w/ immature myeloid precursors
Acute Myeloid Leukemia
Auer rods (composed of MPO) seen in cytoplasm of myeloid leukemic blasts
Acute Myeloid Leukemia
lots of larger azurophilic granules in cytoplasm
APML (M3)
increased granulocytic precursors
CML
increased platelets
Essential Thrombocytosis
bone marrow: increased megakaryocytes
Essential Thrombocytosis
bone marrow - hypercellular, dysplastic cells in marrow and blood
MDS Morphology
bone marrow - ringed sideroblasts
MDS Morphology
condensed nuclear chromatin, small nucleoli, and scant granular cytoplasm, No granules or Aurer rods
Acute Lymphoblastic Anemia
replacement of bone marrow
Acute Lymphoblastic Anemia
Monomorphic lymphocytes, scant cytoplasm, Smudge Cells
Chronic Lymphocytic Leukemia / Small Lymphocytic Lymphoma
large cells with large nuclei containing prominent nucleoli, mitotic figures
Diffuse Large B-Cell Lymphoma
obliterated lymph note architecture
Diffuse Large B-Cell Lymphoma
multiple uniform germinal centers/follicles
Follicular Lymphoma
angulated cleaving of nuclei (folding or grooving)
Follicular Lymphoma
tingible body macrophages, heterogeneous cell population
Follicular Hyperplasia
germinal center Bcl-2 positive
Follicular Lymphoma
composed of small round irregular lymphocytes resembling those seen in the marginal zone of myphoid follicles
MALToma
starry-sky pattern due to tingable body macrophages
Burkitt Lymphoma
large nucliei w/ multiple small nucleoli, High Ki-67 Index
Burkitt Lymphoma
Reed Sternberg
Hodgkin Lymphoma
lacunar variant
Nodular Sclerosing
Popcorn cell variant
Nodular Lymphocyte Predominant H.L.
Hair-like projections of cytoplasm
Hairy Cell Leukemia
TRAP (+)
Hair Cell Leukemia
rouleaux formation of RBCs
Plasma Cell Neoplasms
Plasma cells with fried egg appearance
Multiple Myeloma
Plasmacytoid cells - fried egg
Waldenstrom Macroglobulinemia
Dutcher bodies - inclusions of immunoglobulins in nucleus of atypical plasma cells
Waldenstrom Macroglobulinemia
Russell bodies - inclusions of immunoglobulins in cytoplasm of atypical plasma cells
Waldenstrom Macroglobulinemia
skin pautrier’s microabscess
Mycoses Fungoides
cerebriform nuclei
Sezary Syndrome
multi-lobed (cloverleaf) cells
ATLL
Horseshoe shaped Hallmark Cells
Anaplastic Large Cell Lymphoma