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The term leukemoid reaction describes an increased white blood cell count (> 50,000 cells/μL), which is a physiological response to stress or infection (as opposed to a primary blood malignancy, such as leukemia). It often describes the presence of immature cells such as myeloblasts or red blood cells with nuclei in the peripheral blood.
Lymphoblasts can also refer to immature cells which typically differentiate to form mature lymphocytes. [2] Normally, lymphoblasts are found in the bone marrow, but in acute lymphoblastic leukemia (ALL), lymphoblasts proliferate uncontrollably and are found in large numbers in the peripheral blood. The size is between 10 and 20 μm. [3]
The excessive immature lymphocytes in the bone marrow interfere with the production of new red blood cells, white blood cells, and platelets. [1] Diagnosis is typically based on blood tests and bone marrow examination. [3] Acute lymphoblastic leukemia is typically treated initially with chemotherapy aimed at bringing about remission. [2]
Problems with blood cell formation result in some combination of low red blood cell, platelet, and white blood cell counts. [3] Some types of MDS cause an increase in the production of immature blood cells (called blasts), in the bone marrow or blood. [3]
A myeloid sarcoma (chloroma, granulocytic sarcoma, [1]: 744 extramedullary myeloid tumor) is a solid tumor composed of immature white blood cells [2] called myeloblasts. A chloroma is an extramedullary manifestation of acute myeloid leukemia; in other words, it is a solid collection of leukemic cells occurring outside of the bone marrow.
The word leukemia, which means 'white blood', is derived from the characteristic high white blood cell count that presents in most affected people before treatment. The high number of white blood cells is apparent when a blood sample is viewed under a microscope, with the extra white blood cells frequently being immature or dysfunctional. The ...
It may reveal both an excess of white blood cells (leukocytosis) or a decrease , and a low red blood cell count and low platelets (thrombocytopenia) can also be commonly seen. [22] A blood film may show leukemic blast cells. [22] Inclusions within the cells called Auer rods, when seen, make the diagnosis highly likely. [22]
During a peripheral blood smear, a sample of blood is checked for blast cells, white blood cell count and changes in shape of blood cells. [10] During a bone marrow test, bone marrow is taken from the hip bone in a search for leukemia cells. Aspiration and biopsy are two types of testing that can be done in order to obtain bone marrow. Further ...