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Pathology of hematolymphoid system

Date post: 15-Jan-2017
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By the Name of Allah, The Most Gracious, The Most Merciful
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Page 1: Pathology of hematolymphoid system

By the Name of Allah, The Most Gracious, The Most Merciful

Page 2: Pathology of hematolymphoid system

Hereditary spherocytosis blood smear.

Page 3: Pathology of hematolymphoid system

Sphere shape allow a much smaller surface area to volume ratio than biconcave shape

Scanning electron micrograph of a normal biconcave erythrocyte

Scanning electron micrograph of a spherocyte. The spherocyte is smaller, round, and lacks concavities

Page 4: Pathology of hematolymphoid system

Sickle RBCs

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A.Peripheral blood smear from a patient with sickle cell anemia.showing sickle cells, anisocytosis, poikilocytosis, & target cells .B , Higher magnification shows an

irreversibly sickled cell

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Target cells

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Target cells(arrows) anisocytosis poikilocytosis.

Page 8: Pathology of hematolymphoid system

Peripheral blood smear (Heinz bodies) revealed by supravital staining.

"bite cells".

Page 9: Pathology of hematolymphoid system

PCV

Page 10: Pathology of hematolymphoid system

Polycythemia –blood film

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PCV-bone marrow

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ALL-Lymphoblasts have fewer nucleoli than do myeloblasts, and the nuclear chromatin is more condensed.

Cytoplasmic granules are absent

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AML-Myeloblasts have delicate nuclear chromatin, prominent nucleoli, and

fine azurophilic granules in the cytoplasm (arrows).

Page 14: Pathology of hematolymphoid system

Acute lymphoblastic leukemia (ALL) blood smear.

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ALL-L3

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ALL- bone marrow aspirate.

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AML-Auer rods

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AML-bone marrow

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Acute promyelocytic leukemia (FAB AML-M3) blood smear. Note the

cytoplasmic granules in the cell at the top and the multiple Auer rods in the cell at the bottom.

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AML-M3 bone marrow

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CML-Peripheral blood smear shows many mature neutrophils, some

metamyelocytes, and a myelocyte and a myeloblast.

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CLL-blood smear Lymphocytosis of small mature-appearing lymphocytes. Numerous “smudge” cells are present.

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. CLL

Condensed “soccer ball” nuclear chromatin; one “smudge cell” is present.

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Diffuse large B-cell lymphoma, medium power.

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Diffuse large B-cell lymphoma, high power.

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Diffuse large B-cell lymphoma, high power.

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Follicular lymphoma

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Follicular lymphoma

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Small Lymphocytic Lymphoma

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MALT lymphoma

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Burkitt’s Lymphoma “starry sky” appearance.

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Hodgkin’s lymphoma RS cell

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Hodgkin disease, lymphocyte-predominance type. Numerous mature-looking lymphocytes surround scattered, large, pale-staining lymphocytic

and histiocytic variants ("popcorn" cells).

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Hodgkin lymphoma, nodular sclerosis type. A low-power view shows well-defined

bands of pink, acellular collagen that have subdivided the tumor cells into nodules

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Hodgkin lymphoma, nodular sclerosis type. A distinctive "lacunar cell" with multilobed nucleus containing many small nucleoli is seen lying within a clear space created by retraction of its

cytoplasm. It is surrounded by lymphocytes.

Page 36: Pathology of hematolymphoid system

Hodgkin disease, mixed-cellularity type. A diagnostic, binucleate Reed-Sternberg cell is surrounded by multiple cell types, including eosinophils (bright-red cytoplasm), lymphocytes,

and histiocytes.

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Multiple Myeloma

Page 38: Pathology of hematolymphoid system

Multiple myeloma blood smear. Rouleaux formation.

Page 39: Pathology of hematolymphoid system

Multiple myeloma bone marrow aspirate. Numerous plasma cells, many of

which have prominent nucleoli (normal plasma cells lack nucleoli), are present


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