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Blast cells in peripheral blood

Blast cells in peripheral blood

Peripheral blood (May-Grünwald-Giemsa stain) of a 6-year old boy with bone pain and diarrhoea. In addition to numerous lymphocytes (L) also blast cells (B) are present. The platelet count is reduced. Bone marrow examination revealed an acute lymphoblastic leukaemia (childhood ALL, C-ALL).