Thank you Dr! Below is the rest. Still awaiting cytogenetics report.
The bone marrow
aspirate smear slides show hemodiluted smears without
any bone marrow particles. Only very scattered myeloid and erythroid
cellular elements are seen. The aspirate smear slides are suboptimal
for calculating the percentage of blasts. The bone marrow aspirate
clot section slides show blood admixed with focal trilineage
hematopoietic bone marrow with normal myeloid to erythroid cell ratio.
Megakaryocytes are mildly increased in number with unremarkable
morphology. Definite sheets of blasts or lymphoid aggregates are not
seen. The bone marrow biopsy
slides show about 1.2 cm length of bone
marrow biopsy core with severe aspiration artifact. From the intact
areas, the bone marrow cellularity is estimated as 50%. Flow
cytometric studies performed at Inova Fairfax Hospital (FL-14-428) show
no immunophenotypic abnormalities. Well-controlled immunohistochemical
stains were performed. The CD20
stains highlight very rare B
cells and scattered T cells, respectively. CD34 and CD117 stains show
no increased number of blasts. MPO and glycophorin stains show myeloid
and erythroid cellular elements. CD61 stain shows mild to focally
moderately increased number of megakaryocytes.