- •Preface
- •Contents
- •Procedures, Assays, and Normal Values
- •Normal Cells of the Blood and Hematopoietic Organs
- •The Individual Cells of Hematopoiesis
- •Bone Marrow: Cell Composition and Principles of Analysis
- •Abnormalities of the White Cell Series
- •Predominance of Mononuclear Round to Oval Cells
- •Prevalence of Polynuclear (Segmented) Cells
- •Erythrocyte and Thrombocyte Abnormalities
- •Hypochromic Anemias
- •Normochromic Anemias
- •Hyperchromic Anemias
- •Erythrocyte Inclusions
- •Thrombocyte Abnormalities
- •Cytology of Organ Biopsies and Exudates
- •Lymph Node Cytology
- •Branchial Cysts and Bronchoalveolar Lavage
- •Cytology of Pleural Effusions and Ascites
- •Cytology of Cerebrospinal Fluid
- •Introduction to the Physiology and Pathophysiology of the Hematopoietic System
- •Cell Systems
- •Principles of Regulation and Dysregulation in the Blood Cell Series and their Diagnostic Implications
- •Procedures, Assays, and Normal Values
- •Taking Blood Samples
- •Erythrocyte Count
- •Hemoglobin and Hematocrit Assay
- •Calculation of Erythrocyte Parameters
- •Red Cell Distribution Width (RDW)
- •Reticulocyte Count
- •Leukocyte Count
- •Thrombocyte Count
- •Significance of the Automated Blood Count
- •Bone Marrow Biopsy
- •Lymph Node Biopsy and Tumor Biopsy
- •Step-by-Step Diagnostic Sequence
- •The Individual Cells of Hematopoiesis
- •Eosinophilic Granulocytes (Eosinophils)
- •Basophilic Granulocytes (Basophils)
- •Monocytes
- •Lymphocytes (and Plasma Cells)
- •Megakaryocytes and Thrombocytes
- •Bone Marrow: Medullary Stroma Cells
- •Abnormalities of the White Cell Series
- •Predominance of Mononuclear Round to Oval Cells
- •Reactive Lymphocytosis
- •Relative Lymphocytosis Associated with Granulocytopenia (Neutropenia) and Agranulocytosis
- •Monocytosis
- •Acute Leukemias
- •Neutrophilia without Left Shift
- •Reactive Left Shift
- •Osteomyelosclerosis
- •Elevated Eosinophil and Basophil Counts
- •Clinically Relevant Classification Principle for Anemias: Mean Erythrocyte Hemoglobin Content (MCH)
- •Hypochromic Anemias
- •Iron Deficiency Anemia
- •Hypochromic Infectious or Toxic Anemia (Secondary Anemia)
- •Hypochromic Anemia with Hemolysis
- •Normochromic Anemias
- •Normochromic Hemolytic Anemias
- •Cytomorphological Anemias with Erythrocyte Anomalies
- •Bone Marrow Aplasia
- •Hyperchromic Anemias
- •Erythrocyte Inclusions
- •Hematological Diagnosis of Malaria
- •Thrombocyte Abnormalities
- •Thrombocytopenia
- •Lymph Node Cytology
- •Sarcoidosis and Tuberculosis
- •Non-Hodgkin Lymphoma
- •Metastases of Solid Tumors in Lymph Nodes or Subcutaneous Tissue
- •Branchial Cysts
- •Cytology of Pleural Effusions and Ascites
- •Cytology of Cerebrospinal Fluid
- •References
- •Index
viii Contents |
|
Partly Mature White Cell Precursors: Myelocytes and Metamyelo- |
|
cytes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
36 |
Mature Neutrophils: Band Cells and Segmented Neutrophils . . . . . |
38 |
Cell Degradation, Special Granulations, and Nuclear Appendages |
|
in Neutrophilic Granulocytes and Nuclear Anomalies . . . . . . . . . . . . |
40 |
Eosinophilic Granulocytes (Eosinophils) . . . . . . . . . . . . . . . . . . . . . . . . |
44 |
Basophilic Granulocytes (Basophils) . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
44 |
Monocytes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
46 |
Lymphocytes (and Plasma Cells) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
48 |
Megakaryocytes and Thrombocytes . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
50 |
Bone Marrow: Cell Composition and Principles of Analysis . . . . |
52 |
Bone Marrow: Medullary Stroma Cells . . . . . . . . . . . . . . . . . . . . . . . . . |
58 |
Abnormalities of the White Cell Series . . . . . . . . . . . . . . . . . . |
61 |
Predominance of Mononuclear Round to Oval Cells . . . . . . . . . . . |
63 |
Reactive Lymphocytosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
66 |
Examples of Extreme Lymphocytic Stimulation: Infectious |
|
Mononucleosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
68 |
Diseases of the Lymphatic System (Non-Hodgkin Lymphomas) . . . |
70 |
Differentiation of the Lymphatic Cells and Cell Surface Marker |
|
Expression in Non-Hodgkin Lymphoma Cells . . . . . . . . . . . . . . . . . |
72 |
Chronic Lymphocytic Leukemia (CLL) and Related Diseases . . . . |
74 |
Lymphoplasmacytic Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
78 |
Facultative Leukemic Lymphomas (e.g., Mantle Cell Lymphoma |
|
and Follicular Lymphoma) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
78 |
Lymphoma, Usually with Splenomegaly (e.g., Hairy Cell Leuke- |
|
mia and Splenic Lymphoma with Villous Lymphocytes) . . . . . . . |
80 |
Monoclonal Gammopathy (Hypergammaglobulinemia), Mul- |
|
tiple Myeloma*, Plasma Cell Myeloma, Plasmacytoma . . . . . . . . . |
82 |
Variability of Plasmacytoma Morphology . . . . . . . . . . . . . . . . . . . . . |
84 |
Relative Lymphocytosis Associated with Granulocytopenia |
|
(Neutropenia) and Agranulocytosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
86 |
Classification of Neutropenias and Agranulocytoses . . . . . . . . . . . |
86 |
Monocytosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
88 |
Acute Leukemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
90 |
Morphological and Cytochemical Cell Identification . . . . . . . . . . . |
91 |
Acute Myeloid Leukemias (AML) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
95 |
Acute Erythroleukemia (FAB Classification Type M6) . . . . . . . . . . |
100 |
Acute Megakaryoblastic Leukemia |
|
(FAB Classification Type M7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
102 |
AML with Dysplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
102 |
Hypoplastic AML . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
102 |