1. Case Leukemia
Naema , Nesrren , Nremeen

2. Case study
A 50-year-old female suffer with severe headaches, dyspnea on exertion, and petechiae on the lower extremities
Lab Investigation and the result was :

3. Lab Finding Normal range result parameter 4.2-5.5 2.4 RBC(m/mm^3) 7
Hb(g/dl)
35-45 21
(%)HCT
80-97
87.5
fl))MCV
27-35 29
MCH(pg)
32-36
33.3
MCHC(g/dl)
4-11 65
WBC (m/mm^3)
(ML)
15*10^3
PLT(ML)

4. peripheral Blood

5. Bone marrow Peroxidase negative , PAS positive blast cells
Heterogeneous population of large lymphoblasts with moderately abundant cytoplasm & or more nucleoli. Nucleus commonly intended or cleft.

7. ALL-L2 L2 – This is the most frequent ALL found in adults.
The cell size is large and heterogeneous with variable nuclear chromatin and prominent nucleoli.
The nucleus is irregular, clefting and indented.
The cytoplasm is variable and often moderate to abundant, the basophilia is variable and may be deep

8. Thank you