Actions

Recognition of APL differentiation

From haematologyetc.co.uk

Revision as of 00:13, 12 January 2024 by John (talk | contribs) (Created page with " <div id="AML_AplPic">'''Recognition of acute promyelocytic leukaemia'''</div> 130px <span style="font-size:90%">Typical APL has cells that are hypergranular (A) or may be the microgranular variant (B) generally the cells will have a range of granulation or nuclear appearance. While CD45 expression tends to be weak, in almost all cases the variable morphological features cause a wide range of side-scatter with the abnormal cells often forming a...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)


Recognition of acute promyelocytic leukaemia

AML M1.png

Typical APL has cells that are hypergranular (A) or may be the microgranular variant (B) generally the cells will have a range of granulation or nuclear appearance. While CD45 expression tends to be weak, in almost all cases the variable morphological features cause a wide range of side-scatter with the abnormal cells often forming a "cloud" extending toward the neutrophil area. This can make the cells (particular hypergranular forms) difficult to distinguish from reactive myeloid populations (or occasionally from MDS). Absent HLA-DR on APL cells can help distinguish from reactive cells (expressing HLA-DR), but correlation with morphology and clinical features and other confirmatory tests are essential to the recognition of APL.