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Erythroid maturation. Proerythroblast. Basophilic erythroblast. Polychromatophilic erythroblast. Acidophilic erythroblast. Reticulocyte. Mature RBC. Erythroid Dysplasia. Myeloid maturation.
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Myeloid maturation Myeloblast Promyelocyte Myelocyte Metamyelocyte Band Neutrophil
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Leukemia A disorder characterised by the accumulation of malignant white cells in the BM and PB. • Acute leukemia • Chronic leukemia
Acute leukemia A malignant disorder in which blasts constitute >20% of the BM cells Classification: • Acute Myeloid Leukaemia (AML) • Acute Lymphoblastic Leukaemia (ALL)
Acute myeloblastic leukemia ( M0, M1, M2 ) Acute promyelocytic leukemia ( M3, M3v ) Acute myelomonocytic leukemia ( M4, M4Eo ) Acute monocytic leukemia ( M5a, M5b ) Acute erythroleukemia ( M6 ) Acute megakaryocytic leukemia ( M7 ) AML FAB classification
Distinguishing AML from ALL • Light microscopy • AML: Auer rods, cytoplasmic granules • ALL: no Auer rods or granules. • Flow cytometry • Special stains (cytochemistry)
Cytochemistry AML • Myeloblastic - SBB, MPO, Chloroacetate Esterase • Monoblastic - Non Specific Esterase ALL • B lineage – PAS • T lineage – Acid Phosphatase