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Monoblast

       Promonocyte


Monocyte
Monoblast
Size:
-       F F           F
  10-18
Cytoplasm:
-          -
- F F F - F
Nucleus:
- F        F      F       F
    (folded over)
-chromatin F
             F F
-       F
- nucleoli                    F 1-2
Promonocyte
Size:
-       F F     F
  14-18
Cytoplasm:
-           , F
- fine azurophilic granules
Nucleus:
 -          F
 -chromatin                   F F
   F
-     F
- parachromatin
- nucleoli F F
Monocyte
Size:
-       F F            F
  14-18
Cytoplasm:
-       - , F F
-        fine azurophilic granule
-         vacuoles
Nucleus:
-                  F
-chromatin                     F   F
             F F           F
-     F
-   parachromatin
Macrophage
Size:
-       F F      F
  25-50
Cytoplasm:
-
- vacuoles
- azurophilic granule
Nucleus:
-
-chromatin
- nucleoli 1-2
Histiocyte

        Histiocyte
    F Reticuloendothelial cell
(RE cell)           F

            F
e
Lymphoblast
Size:
-       F F     F
  10-18
Cytoplasm:
-          F
- F granules
-       perinuclear zone
Nucleus:
- F       F           F
-       F
 Nucleus/Cytoplasm = 5-7/1
-chromatin               F
- nucleoli 1-2
Prolymphocyte
Size:
-       F F    F
  10-18
Cytoplasm:
-
- azurophilic granules
Nucleus:
-          ,
-chromatin
                    F
-      nucleoli F
Lymphocyte

Size:
-        F F   F
   10-15
  (          Lymphocyte)
                                                  Large lymphocyte
Cytoplasm:
-
-       azurophilic granule
Nucleus:                                              Small lymphocyte
-          ,
-chromatin                    F
                                  Medium lymphocyte
Spindle-shaped lymphocyte




Large Granular Lymphocyte “N.K cell”
Atypical lymphocyte
        (Transformed lymphocyte)


lymphocyte     F
             F      F
 active stage F 3
        Type I
        Type 2
        Type 3
Atypical lymphocyte type I

Size:
- cell                F F
             F    F         F
Cytoplasm:
-            F F
  plasma cell foamy
-       fine azurophilic granules
Nucleus:
-
-chromatin
    F
Atypical lymphocyte type II


Size:
-          F F cell type I
Cytoplasm:
-
-          F
Nucleus:
- ,          F
 nucleus monocyte
-chromatin                   F
Atypical lymphocyte type III

Size:
-              F cell type I
Cytoplasm:
-
-          F
Nucleus:
-        ,
-chromatin
-               nucleoli
Plasmoblast



   Proplasmocyte



                   Plasma cell
Plasmoblast
Size:
-       F F       F
  18-25
Cytoplasm:
-         F
-       foamy
- perinuclear zone
Nucleus:
-         F,
- nucleoli
-
  parachromatin       F
(Cartwheel)
Proplasmocyte
Size:
  -       F F       F
    15-25
Cytoplasm:
 -         F
 -       foamy
 - perinuclear zone
Nucleus:
 -
 -
 -       nucleoli        F
Plasma cell
Size:
-        F F     F
  8-24
Cytoplasm:
 -         F
 -       foamy
 - perinuclear zone F
Nucleus:
 -
 -
 -       2 nucleus
 - parachromatin
F                                       F
                                                   :
       •Congenital abnormalities
        •Acquired abnormalities

                       F        2
1. Cytoplasmic abnormalities
  •                         F       granule
  •        F       F       cytoplasm (vacuolization)
2. Nuclear abnormalities
Cytoplasmic abnormalities
                F   granule

   Normal
                        1.Toxic granule
                                Large azurophilic granules
                              F               F
                                 F      :
                              - Infections
Toxic granule
                              - Serious burns
                              - Septicemia
                              - drug poisoning
2.Chediak- Higashi anomaly


           Congenital (autosomal recessive)
               granule            F     F
          (Abnormal azurophilic granules)      F
           Susceptible to infection
                   F      albinism    bleeding tendency
3. Döhle bodies
                                    F    1-4 µm
                     F          F        F band
  form, neutrophil
    Aggregates of Rough endoplasmic reticulum
             :
        - Several toxic status
        - Severe burn
        - Burns
        - Chemotherapy
        - Malignant disease
        - Pregnancy
                       F F
4. Alder-Reilly anomaly

         Autosomal recessive trait
            granule                F   F   F
            nucleus       neutrophil
       lymphocyte      monocyte
           F Toxic granules

                       F Cytochemical stains:
               Alder-Reilly F            F F
       Toluidine blue stain Colloidal iron stain
        F Toxic granule F             F
5. Auer rod



         F     F -
            Abnormal development of
            primary granules
                Leukemic Blood cells
         - Myeloblast
         - Promyelocyte
        - Monoblast
6. May-Hegglin anomaly

            Autosomal dominant trait
                        F         1-3 m, blue-gray
             F Döhle bodies F
                    Aggregates of mRNA
                  F
                    Leukopenia
                    Thrombocytopenia
                       Giant platelets
Cytoplasmic abnormalities
F   F   cytoplasm (vacuolization)


                                                       F
                                           vacuole F          toxic
                                    granule neutrophil       F F
                                                septicemia
                                            F          F
                                              F          F        4
Nuclear abnormalities

1. Hypersegmentation

                 Nucleus F         lobe        F 5 lobes
                  hypersegmented neutrophil
                 Vit.B12 or Folic acid Deficiency
                  (Megaloblastic anemia or Pernicious anemia)
2. Pelger-Huet anomaly




            nucleus                     F    F      F   neutrophil 2
lobe F F                  F band form
  Congenital (Autosomal dominant)
  Acquire
                                            (myeloproliferative disorder)
3. Pyknotic cell




     Nucleus               F
           F
     Cytoplasm     F   F
              F
4. Smudge cell or basket cell



                        F       cells        F nucleus
                                   F
                            F            F      F
                 Leukemic blood cell
               Chronic Lymphocytic Leukemia (CLL)
Other
                            1. L.E cell
                      WBC            PMN         hematoxylin body
                         :Autoimmune disease       F    Antinuclear
                factor (ANF)
Rosettes form
                             Antigen-antibodies complex      complex
                    F Hematoxylin body (Nucleus:ANF)
                    Complement             F F
                  Chemotaxis
                  PMN                    Rosettes form
                  PMN                  Hematoxylin body F            F
                 L.E cell
  L.E.Cell
2. Tart cell




monocyte   neutrophil        phagocytosis
                        nucleus         F   F
C:\Documents And Settings\User\Desktop\Microsoft Power Point   Agranulocytic Series+Abnormal Wbc

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C:\Documents And Settings\User\Desktop\Microsoft Power Point Agranulocytic Series+Abnormal Wbc

  • 1.
  • 2. Monoblast Promonocyte Monocyte
  • 3. Monoblast Size: - F F F 10-18 Cytoplasm: - - - F F F - F Nucleus: - F F F F (folded over) -chromatin F F F - F - nucleoli F 1-2
  • 4. Promonocyte Size: - F F F 14-18 Cytoplasm: - , F - fine azurophilic granules Nucleus: - F -chromatin F F F - F - parachromatin - nucleoli F F
  • 5. Monocyte Size: - F F F 14-18 Cytoplasm: - - , F F - fine azurophilic granule - vacuoles Nucleus: - F -chromatin F F F F F - F - parachromatin
  • 6. Macrophage Size: - F F F 25-50 Cytoplasm: - - vacuoles - azurophilic granule Nucleus: - -chromatin - nucleoli 1-2
  • 7. Histiocyte Histiocyte F Reticuloendothelial cell (RE cell) F F
  • 8. e
  • 9. Lymphoblast Size: - F F F 10-18 Cytoplasm: - F - F granules - perinuclear zone Nucleus: - F F F - F Nucleus/Cytoplasm = 5-7/1 -chromatin F - nucleoli 1-2
  • 10. Prolymphocyte Size: - F F F 10-18 Cytoplasm: - - azurophilic granules Nucleus: - , -chromatin F - nucleoli F
  • 11. Lymphocyte Size: - F F F 10-15 ( Lymphocyte) Large lymphocyte Cytoplasm: - - azurophilic granule Nucleus: Small lymphocyte - , -chromatin F Medium lymphocyte
  • 12. Spindle-shaped lymphocyte Large Granular Lymphocyte “N.K cell”
  • 13. Atypical lymphocyte (Transformed lymphocyte) lymphocyte F F F active stage F 3 Type I Type 2 Type 3
  • 14. Atypical lymphocyte type I Size: - cell F F F F F Cytoplasm: - F F plasma cell foamy - fine azurophilic granules Nucleus: - -chromatin F
  • 15. Atypical lymphocyte type II Size: - F F cell type I Cytoplasm: - - F Nucleus: - , F nucleus monocyte -chromatin F
  • 16. Atypical lymphocyte type III Size: - F cell type I Cytoplasm: - - F Nucleus: - , -chromatin - nucleoli
  • 17. Plasmoblast Proplasmocyte Plasma cell
  • 18. Plasmoblast Size: - F F F 18-25 Cytoplasm: - F - foamy - perinuclear zone Nucleus: - F, - nucleoli - parachromatin F (Cartwheel)
  • 19. Proplasmocyte Size: - F F F 15-25 Cytoplasm: - F - foamy - perinuclear zone Nucleus: - - - nucleoli F
  • 20. Plasma cell Size: - F F F 8-24 Cytoplasm: - F - foamy - perinuclear zone F Nucleus: - - - 2 nucleus - parachromatin
  • 21.
  • 22. F F : •Congenital abnormalities •Acquired abnormalities F 2 1. Cytoplasmic abnormalities • F granule • F F cytoplasm (vacuolization) 2. Nuclear abnormalities
  • 23. Cytoplasmic abnormalities F granule Normal 1.Toxic granule Large azurophilic granules F F F : - Infections Toxic granule - Serious burns - Septicemia - drug poisoning
  • 24. 2.Chediak- Higashi anomaly Congenital (autosomal recessive) granule F F (Abnormal azurophilic granules) F Susceptible to infection F albinism bleeding tendency
  • 25. 3. Döhle bodies F 1-4 µm F F F band form, neutrophil Aggregates of Rough endoplasmic reticulum : - Several toxic status - Severe burn - Burns - Chemotherapy - Malignant disease - Pregnancy F F
  • 26. 4. Alder-Reilly anomaly Autosomal recessive trait granule F F F nucleus neutrophil lymphocyte monocyte F Toxic granules F Cytochemical stains: Alder-Reilly F F F Toluidine blue stain Colloidal iron stain F Toxic granule F F
  • 27. 5. Auer rod F F - Abnormal development of primary granules Leukemic Blood cells - Myeloblast - Promyelocyte - Monoblast
  • 28. 6. May-Hegglin anomaly Autosomal dominant trait F 1-3 m, blue-gray F Döhle bodies F Aggregates of mRNA F Leukopenia Thrombocytopenia Giant platelets
  • 29. Cytoplasmic abnormalities F F cytoplasm (vacuolization) F vacuole F toxic granule neutrophil F F septicemia F F F F 4
  • 30. Nuclear abnormalities 1. Hypersegmentation Nucleus F lobe F 5 lobes hypersegmented neutrophil Vit.B12 or Folic acid Deficiency (Megaloblastic anemia or Pernicious anemia)
  • 31. 2. Pelger-Huet anomaly nucleus F F F neutrophil 2 lobe F F F band form Congenital (Autosomal dominant) Acquire (myeloproliferative disorder)
  • 32. 3. Pyknotic cell Nucleus F F Cytoplasm F F F
  • 33. 4. Smudge cell or basket cell F cells F nucleus F F F F Leukemic blood cell Chronic Lymphocytic Leukemia (CLL)
  • 34. Other 1. L.E cell WBC PMN hematoxylin body :Autoimmune disease F Antinuclear factor (ANF) Rosettes form Antigen-antibodies complex complex F Hematoxylin body (Nucleus:ANF) Complement F F Chemotaxis PMN Rosettes form PMN Hematoxylin body F F L.E cell L.E.Cell
  • 35. 2. Tart cell monocyte neutrophil phagocytosis nucleus F F