Ward 34

Submitted by admin on Fri, 04/15/2016 - 02:02
Case Slide No.: 
5
Type: 
MARROW SMEAR
Description: 
Three variably sized myeloma cells are shown. All three are classic mature forms. Atop the group is a hypogranular band. See discussion of “hypogranularity” of neutrophils in an earlier legend in this case. See comment.
Comment: 
Why are these myeloma cells deemed mature? They are so described because 1) chromatin is clumped and 2) nucleoli are inconspicuous. 
Though mature, these are not Marschalko variants. While Marschalko cells are also mature myeloma cells they exhibit a clockface nuclear pattern, features similar to that seen in some benign, reactive plasma cells.
Slide Image: 
Case Series: 
IgM MYELOMA
Series No.: 
CASE 2
Case No.: 
12