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CLL plus AML   
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The patient presented with peripheral lymphocytosis. The immunological profolie was typical of CLL with positivity for CD5, CD19 and CD23.There are some signs of immaturity of the lymphatic cells.Granulocytes are present in the peripheral blood.
The patient presented with peripheral lymphocytosis. The immunological profolie was typical of CLL with positivity for CD5, CD19 and CD23. (Position 1)There are some signs of immaturity of the lymphatic cells. (Position 2)Granulocytes are present in the peripheral blood. (Position 3)

The normocellular marrow shows heavy infiltration by low grade lymphoma.Some signs of immaturity are present in the marrow as in the peripheral blood.
The normocellular marrow shows heavy infiltration by low grade lymphoma. (Position 4) (Position 5)Some signs of immaturity are present in the marrow as in the peripheral blood.  (Position 6)

In addition to the lymphcytes some blasts can be found.
 (Position 7)In addition to the lymphcytes some blasts can be found. (Position 8) (Position 9)

Another blast looking myeloic. Is the small cytoplasmic piece an Auer rod.The question arises whether the blasts are part of the lymphatic neoplasia. This blast shows an clearly recognizable Auer rod and proves the myeloic nature of this cell.Another blast with another Auer rod.
Another blast looking myeloic. Is the small cytoplasmic piece an Auer rod. (Position 10)The question arises whether the blasts are part of the lymphatic neoplasia. This blast shows an clearly recognizable Auer rod and proves the myeloic nature of this cell. (Position 11)Another blast with another Auer rod. (Position 12)

Peroxidase staining demonstrates the myeloic nature of the blasts and stains the Auer rods.Two Auer rods in this myeloic blast. AML showing 5q-minus. Few 5q-minus-megakaryocytes could be found.
Peroxidase staining demonstrates the myeloic nature of the blasts and stains the Auer rods. (Position 13)Two Auer rods in this myeloic blast.  (Position 14)AML showing 5q-minus. Few 5q-minus-megakaryocytes could be found. (Position 15)

 (Position 16) (Position 17)

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