WBC Flashcards
M0
Undifferentiated AML
M1
AML without maturation
M2
AML with maturation <–AML with t(8;21) <WHO></WHO>
M3
Acute PromyelocyticLeukemia,
M3m
Microgranular, PromyelocyticLeukemia
M4
Acute Myelomonocytic Leukemia
M5
Acute MonocyticLeukemia
M6
Erythroleukemia(DiGuglielmo’s)
M7
MegakaryoblasticLeukemia
M4Eo
Acute myelomonocyticleukemia with eosinophilia
M5a
Acute monoblasticleukemia, poorly differentiated
M5b
Acute monoblasticleukemia, with differentiation
Neutrophil
pink to tan with violet or lilac
granules
Eosinophil
bright orange refractile granules
Charcoat-Leyden crystals
Found hexagonal bipyramidal crystals are composed of lysophospholipase localized in the cytoplasm of eosinophils
Charcoat-Leyden crystals
Formed when there is an intense or prolonged eosinophilic inflammatory reaction
Thorn Test:
a test to measure adrenocortical function
Basophil
NUCLEUS:Clover-leaf like
CYTOPLASM: purple-black granules that
covers the nucleus
Monocytes
round, oval, kidney shaped horseshoe-shaped, indented or folded with a lacelike or stingy chromatin pattern
CYTOPLASM: blue-gray, with fine azure granules
Lymphocytes
scant basophilic cytoplasm (light sky blue)
Robin’s blue egg cytoplasm
Downey Cells
Any of the several atypical lymphocytes seen in infectious mononucleosis
Downey Cells
Ballerina Skirt Appearance; flared pattern cytoplasm with ends called scalloping which scallops nearby red blood cells
AML
most common type of leukemia in children younger than 18 months of age
Chloroma
Iocalized tumor masses consisting of myeloblasts; Produces a green appearance if the tissue is cut
Auer rods
Also called “faggot cells” which means “bunch of sticks”
AML
Thrombocytopenia
Anemia (normocytic normochromic)
Acute Promyelocytic Leukemia
most aggressive of acute leukemia
AML with t(15;17) in WHO classification
Acute Promyelocytic Leukemia (FAB M3)
Disseminated intravascular coagulation (DIC) is most often associated
Acute Promyelocytic Leukemia (FAB M3)
referred to as Naegelitype monocyticleukemia
Acute Myelomonocytic Leukemia (FAB M4)
AML with inv(16) in WHO classification at risk of leukostasis development
Acute Myelomonocytic Leukemia (FAB M4)
a pathological finding of slightly dilated, thin- walled vessels filled with leukemic cells.
Leukostasis
proliferation of both immature granulocytic
and erythrocytic cell types
Erythemicmyelosisor Di Guglielmo syndrome
most common cancer in children (L1)
Acute Lymphoblastic Leukemia
Terminal deoxynucleotidy ltransferase(TdT)
positive
common ALL antigen (cALLA) is found on the
surface of lymphoblasts in 70% of patients
Acute Lymphoblastic Leukemia
FAB CLASSIFICATION OF ALL: Small homogeneous blasts; mostly in children
L1
FAB CLASSIFICATION OF ALL
Large heterogeneous blasts; mostly in adults
L2
“Burkitttype ” large basophilic B-cell blasts with vacuoles, t(8;14) alteration is common. Frequently a “starry-sky” pattern of admixed histiocytes
L3
most common form of leukemia in adults
CLL
strong acid phosphatase reaction that is not
inhibited by tartaric acid or tartrate-resistant acid phosphatase (TRAP) stain
Hairy Cell Leukemia
marked degree of rouleaux formation
Multiple Myeloma
Produce multiple tumors, which appear on a radiograph as multiple punched-out osteoporotic lesions
Multiple Myeloma
a malignancy of the lymphoplasmacytoidcells, which manufacture IgM.
Waldenstrom Macroglobulinemia
characterized by the presence of Reed- Sternberg cells
Hodgkin type
a large multinucleated cell resembling an “owl’s eye seen in Hodgkin lymphoma
leukemic phase of cutaneous T-cell lymphoma, mycosis fungoides
Sezary Syndrome
Rare atypical mononuclear cells with
cerebriform nuclei
Sezarycells
TRAP +; pancytopenia
HL
an MPN that originates in an abnormal pluripotent bone marrow stem cell and is consistently associated with the BCR-ABL 1 fusion gene located in the Philadelphia chromosome
CML
reciprocal translocation of DNA between chromosomes 9 and 22 (t9q:22q)
Philadelphia chromosome
an absolute increase in red cell mass, leukocytosis, and thrombocytosis.
Polycythemia Vera
characterized by mutation of Janus 2 kinase,
JAK2 V617F
Polycythemia Vera
a clonal myeloproliferative disorder primarily affecting the megakaryocytic lineage with the principal manifestation of sustained thrombocytosis
Essential Thrombocythemia
disorders in which apoptosis predominates, hematopoiesis is ineffective, and cytopenias occur
Myelodysplastic syndromes
giant hypogranular platelets; pseudo-Pelger-Huët
Myelodysplastic Syndromes
Mature ones with a kidney-shaped or lobulated nucleus and vacuolated, basophilic, foamy cytoplasm
type I downey
Plasmacytoid nuclei with less vacuolated and basophilic cytoplasm
type ii downey
Binucleated lymphocytes indicates
lymphocytic leukemia or
leukosarcoma
Nucleus is notched, lobulated, and cloverleaf- like; indicates CLL (Chronic Lympogenous Leukemia)
Reider Cells
Seen in Niemann-Pick disease, Tay-Sachs disease, Hurley syndrome, and Burkitt lymphoma
Vacuolated Lymphocytes
smudge cells are usually seen in
CLL
basket cells
Granulocytic smudge cells
Antigen markers for t cells
cd2 and cd3
antigen markers for b cells
cd19 & cd20
HSC antigen narkers
cd34 & 45
an exaggerated response to infections and inflammation
Leukomoid reaction
Immature white cells immature red cells and platelet abnormalities seen in peripheral smear
Leukoerythroblastic picture
characterized by pale blue inclusions resembling Döhle bodies in neutrophils
May-Hegglin Anomaly
Purple red; seen in patients with Hurler, Hunter,and Maroteaux-Lamy types of genetic
mucopolysaccharidosis; Gargoylism
Alder-Reilly Anomaly
spectacle-like (“pince-nez”) morphology
Pelger-Huet Anomaly
Found in cases of granulocytic leukemia, myedysplastic and some myeloproliferative disorders, and some infections, and after exposure to certain drugs
Pseudo or Acquired Pelger-Huet anomaly
A type of WBC morphologic alterations showing a neutrophil nucleus with axial symmetry (mirror image) and is acquired in malignancies and chemotherapy
Twinning
Partial oculocutaneous albinism, photophobia,
Giant lysosomal granules in granulocytes,
monocytes, and lymphocytes
Chediak-Higashi Syndrome
Rare group of genetic disease characterized by low neutrophil count, increase risk of infection, organ dysfunction, and a high rate of leukemic transformation
Congenital Defects of Phagocytes
Most serious disorder related to a defect in
microbicidal activity
Chronic Granulomatous Disease (CGD)
Associated with a failure in Oxygen burst
mechanism of phagocytosis of neutrophils
Chronic Granulomatous Disease (CGD)
inability of neutrophils and monocytes to adhere to endothelial cells and to transmigrate from the blood to the tissues
Defects of motility
Leukocyte Adhesion Deficiency (LAD) Diseases
Myeloperoxidase (MPO) deficiency
Alius-Grignaschi anomaly
Granulocytes do not respond to chemotactic factors; therefore they fail to accumulate at the inflamed tissue
Lazy Leukocyte Syndrome
An uncommon condition where phagocytes with normal random movement but the directional motility of these cells are impaired.
Job’s Syndrome
most common of the lysosomal lipid storage diseases
Gaucher’s Disease
Gaucher’s Disease deficiency
β- glucocerebroside
Niemann-Pick disease
Sphingomyelinase
Tay-Sachs disease
Hexosaminidase A
Histiocytosis X in > young children,
acute, disseminated
Letterer-siwe disease
Histocytosis X in older persons, chronic, progressive
Hand-Schuller-Christian disease
Monocyte that resembles an LE cell but contains a mass with clumped chromatin.
tart cell
onion skin- like, chicken scratched, crinkled tissue paper)
Gaucher’s cells