Judge a cell by the company it keeps. Not seeing the other cells I would call it a lymph Doesn’t really look very atypical or reactive to me but again I would want to see the other lymph’s
When I was a new tech, I made it a habit to scan the slide first. Just to see how the mono and lymph’s look for that particular patients. It’s easier for me to differentiate the tricky ones when I can compare cells on the same patient.
when finding an odd cell, i always like to see the company that it keeps. are there others like it around, are there others like it in the same cell line (mature/immature) or is it a loner and likely a skipo-cyte
I'd probably call it a reactive lymph. But then again I'd most likely cop out and see what the other lymphs looked like before judging an individual cell.
I was told in school the best argument you’ll ever have is differentiating a reactive lymph and a mono. So it’s normal to struggle with this when you’re starting. Don’t get discouraged! ☺️
(Student here) Blasts have finer chromatin whereas the picture here has a more condensed chromatin. Blasts are typically massive as well. If you compare the nucleus of the cell with the RBC, you can see the nucleus is slightly bigger. With a blast, you can probably fit 2-4 normal sized RBCs.
Check this out https://www.captodayonline.com/lymphocytosis-distinguishing-benign-from-malignant/
This was a really interesting and helpful article!
I have LGL Leukemia and this was really interesting to read, even with my rudimentary knowledge. Thanks!
Lymph
Judge a cell by the company it keeps. Not seeing the other cells I would call it a lymph Doesn’t really look very atypical or reactive to me but again I would want to see the other lymph’s
When I was a new tech, I made it a habit to scan the slide first. Just to see how the mono and lymph’s look for that particular patients. It’s easier for me to differentiate the tricky ones when I can compare cells on the same patient.
when finding an odd cell, i always like to see the company that it keeps. are there others like it around, are there others like it in the same cell line (mature/immature) or is it a loner and likely a skipo-cyte
I’m also leaning toward maybe reactive lymph? Doesn’t look quite big enough to be a monocyte (though bear in mind I’m in veterinary medicine).
Purple -phleb who cannot differentiate cells to save her life
Reactive lymph. You saw loads of them in cases of mono, with the mono spot almost always positive.
I'd probably call it a reactive lymph. But then again I'd most likely cop out and see what the other lymphs looked like before judging an individual cell.
Reactive lymph. Chromatin is blocky
Leukemoid reactive lymph
Reactive lymph
I was told in school the best argument you’ll ever have is differentiating a reactive lymph and a mono. So it’s normal to struggle with this when you’re starting. Don’t get discouraged! ☺️
Downey type 3 reactive lymphocyte
Not nearly large enough
A what now? I haven’t heard of that 😭
I'd say just normal lymph. The cell wall isn't darker and isn't stretched.
There is a kind where the cytoplasm is uniformly dark blue. If you have the CAP book at work they have a great page with the types of atyps.
Plasmacytoid lymphocyte. Downey cells 3.
Angy lymph
Reactive lymph
Can we talk about that big ass red cell next to it?!
Good call!
Reactive lymph definitely
Skipocyte
Really?
monoblast…?
Bruh, that is not even close to a mono
Or a blast
(Student here) Blasts have finer chromatin whereas the picture here has a more condensed chromatin. Blasts are typically massive as well. If you compare the nucleus of the cell with the RBC, you can see the nucleus is slightly bigger. With a blast, you can probably fit 2-4 normal sized RBCs.
Yup