Ward 168

Submitted by admin on Fri, 04/15/2016 - 02:02
Case Slide No.: 
1
Type: 
MARROW CRUSH
Description: 
Particle crush of marrow from a 66 year old woman with symptoms and signs of myeloma. Laboratory tests and a bone marrow study confirmed the diagnosis. The myeloma proved to be an IgG lambda variant. See comment.
Comment: 
Even at this relatively low power view of the crush smear, bluish intranuclear inclusions are easily discerned in the myeloma cells. The most striking examples are observed towards 2 and 8 o’clock. 
Scattered azure granules all over the field have spilled from cells damaged during crushing. This is a common event in some areas of crush preparations.
Slide Image: 
Case Series: 
MYELOMA WITH DUTCHER BODIES: CASE 1