22 yr old male came with c/o of breathlessness and fever Cbc hb 7.5 tlc 302500 plt 219 On peripheral smear these mononuclear cells were present with cytoplasmic vacoules

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Acute leukemia

Lymphoma spill over ,
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Acute leukemia AML M4 Cytometry Bone marrow

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Marked Leukocytosis.Acute Leukemia.Advised BMA & FCM.

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SUGGESTIVE OF A. M. L... M4 ADVISABLE... ....NEEDS. FURTHER. EVALUATION

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Acute leukemia ? AML M4 Further confirm by BMA and flow cytometry D/d CML in blast crisis Lymphoma spill over

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Plasmacytoid large celks with vacoules Possibilities : Acute leukemia AML M4 DD : B Cell lymphoma spill over/ MM Advised Flow cytometry & Bone marrow workup

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AML -? MMcytic further investigation with BMA BMB immunophenoyping and flowcytometry to rule out .

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AML..M4. DD. CML IN BLAST CRISIS. CORRELATE CLINICALLY. SPLENOMEGALY? ASK FOR . LAP SCORE MARROW STUDY.

Also.. special stains Flow cytometry
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Acute leukemia. Advised special stains and immunophenotyping

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