A 14 year immunocompromised boy develops a severe anemia. A bone marrow aspirate is performed.

Question Number 0526

Question:
A 14 year immunocompromised boy develops a severe anemia. A bone marrow aspirate is performed. Bone marrow aspirate differential and Flow cytometric analysis of bone marrow aspirate (click and then see below) The blasts seen in the bone marrow aspirate had granular nuclear chromatin and cytoplasmic vacuoles. Multiple nucleoli were noted. The cytoplasmic vacuoles stained positive for neutral lipids with Oil Red O. A likely diagnosis is

a) Burkitt lymphoma
b) acute lymphoblastic leukemia
c) mycosis fungoides
d) hairy cell leukemia
e) acute myelogenous leukemia


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