New York State Department of Health - Wadsworth Center - Cytohematology Proficiency Testing

Slide 041 [100X]

This slide was taken from the peripheral blood of a 49 year-old white female with a two year history of anemia and thrombocytopenia requiring red cell transfusion for the last year. Marked splenomegaly was present and a splenectomy was performed. Prior to surgery, the platelet count was 26 X 10³/µL and the white blood cell count was 49.1 X 10³/µL with 343 nucleated red blood cells. The white count corrected to 11.0 X 10³/µL. Two days post operative, her uncorrected white blood cell count was 92.2 X 10³/µL with 2,252 nucleated red blood cells which corrected to 3.9 X 10³/µL. Diagnosis was myelodysplastic syndrome. The cells indicated by the arrows are nucleated red blood cells.

NUMBER OF RESPONSES	CELL CODE AND TYPE
490	code 55- nucleated red cell
1	no response

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