case_images: PMC4789418_01
case_images: Bone marrow aspiration cytology (H&E stain, magnification 400x) shows hypercellular bone marrow with proliferating blasts replacing most of the normal bone marrow.
case_images: CRIONM2016-8308179.001.jpg
case_images: PMC4789418_01_CRIONM2016-8308179.001.jpg
case_images: fig1
case_images: This revealed a hypercellular marrow with overall 5% myeloblasts with megaloblastic changes in the red cells and myeloid series and normal appearing megakaryocytes (Figures 1 -3).
case_images: Bone marrow aspiration cytology (W&G stain, magnification 1000x) shows medium to large blast cells replacing normal bone marrow cellularity. Dysplastic granules and occasional vacuoles are observed.
case_images: CRIONM2016-8308179.002.jpg
case_images: PMC4789418_01_CRIONM2016-8308179.002.jpg
case_images: fig2
case_images: This revealed a hypercellular marrow with overall 5% myeloblasts with megaloblastic changes in the red cells and myeloid series and normal appearing megakaryocytes (Figures 1 -3).
case_images: Bone marrow aspirate flow cytometry showing increased number of blasts and left shifted granulopoiesis.
case_images: CRIONM2016-8308179.003.jpg
case_images: PMC4789418_01_CRIONM2016-8308179.003.jpg
case_images: fig3
case_images: This revealed a hypercellular marrow with overall 5% myeloblasts with megaloblastic changes in the red cells and myeloid series and normal appearing megakaryocytes (Figures 1 -3).
case_images: Peripheral blood smear: (W&G stain) show circulating blasts, dysplastic neutrophils, and nucleated red blood cells.
case_images: CRIONM2016-8308179.004.jpg
case_images: PMC4789418_01_CRIONM2016-8308179.004.jpg
case_images: fig4
case_images: The peripheral blood showed marked anisocytosis with moderate normocytic normochromic anemia and left shifted myeloid series and thrombocytopenia (Figure 4).