A 45-year-old female was evaluated by her physician because…

A 45-year-old female was evaluated by her physician because she had unexplained bruising on her upper torso. Patient history was unremarkable. Physical examination revealed a palpable liver and spleen.  CBCo   WBC count: 72  × 109/Lo   Hb: 8.7 g/dL o   Hct: 25% o   Normal indices o   PLT count: 55 × 109/L Differential: 40% blasts, 30% promyelocytes, 10% myelocytes, 4% metamyelocytes, 5% bands, 11% segemented neutrophils  Cytogenetics have been ordered – what abnormality is likely to be detected?   

An adult patient presents with 44% blasts. The blasts are mo…

An adult patient presents with 44% blasts. The blasts are monomorphic, with abundant basophilic cytoplasm. The majority of blasts show prominent vacuolization (shown below). Cytogenetics shows translocation of the MYC gene (8q24) to the IgH chain locus . What is the diagnosis?