0 оценок0% нашли этот документ полезным (0 голосов)
369 просмотров6 страниц
This document describes the stages of maturation for myeloid cells, monocytes, and megakaryocytes in the bone marrow. It provides details on the size, nuclear morphology, chromatin characteristics, cytoplasmic appearance, granule presence, and normal percentage range found in bone marrow for each stage, including myeloblasts, promyelocytes, neutrophilic myelocytes, metamyelocytes, bands, segmented neutrophils, monoblasts, promonocytes, monocytes, macrophages, megakaryoblasts, and promegakaryocytes.
This document describes the stages of maturation for myeloid cells, monocytes, and megakaryocytes in the bone marrow. It provides details on the size, nuclear morphology, chromatin characteristics, cytoplasmic appearance, granule presence, and normal percentage range found in bone marrow for each stage, including myeloblasts, promyelocytes, neutrophilic myelocytes, metamyelocytes, bands, segmented neutrophils, monoblasts, promonocytes, monocytes, macrophages, megakaryoblasts, and promegakaryocytes.
This document describes the stages of maturation for myeloid cells, monocytes, and megakaryocytes in the bone marrow. It provides details on the size, nuclear morphology, chromatin characteristics, cytoplasmic appearance, granule presence, and normal percentage range found in bone marrow for each stage, including myeloblasts, promyelocytes, neutrophilic myelocytes, metamyelocytes, bands, segmented neutrophils, monoblasts, promonocytes, monocytes, macrophages, megakaryoblasts, and promegakaryocytes.
Nucleus: Round to oval Nucleoli: 2-5 Chromatin: Fine Cytoplasm: Moderate basophilia Granules: Absent or up to 20 N/C ratio: 4:1
Promyelocyte Size: 14-24 um 25 %
Nucleus: Round to oval Nucleoli: 1-3 or more Chromatin: Fine, but slightly coarser than myeloblast Cytoplasm: Basophilic Granules: Primary: >20 to many; colored red to purple or burgundy Secondary: None N/C ratio: 3:1 Neutrophilic myelocyte Size: 12 18 um 5 19 % Nucleus: Round to oval, slightly eccentric Nucleoli: Usually not visible Chromatin: Coarse and more condensed than promyelocyte Cytoplasm: Slightly basophilic to cream-colored Granules: Primary: Few to moderate Secondary: Variable number; become predominant as cell matures N/C ratio: 2:1 Neutrophilic Size: 10 15 um 13 22 % metamyelocyte Nucleus: Indented; kidney bean shape Nucleoli: Not visible Chromatin: Moderately clumped Cytoplasm: Pale pink to cream colored to colorless Granules: Primary: Few Secondary: May N/C ratio : 1.5:1 Neutrophilic band Size: 10-15 um 17 33 % Nucleus: Constricted but no threadlike filament Nucleoli: Not visible Chromatin: Coarse, clumped Cytoplasm: Pale blue to pink Granules: Primary: Few Secondary: Abundant N/C ratio : Cytoplasm predominates Segmented neutrophil Size: 10 15 um 3 11 % Nucleus: 2-5 lobes connected by thin filaments without visible chromatin Nucleoli: Not visible Chromatin: Coarse, clumped Cytoplasm: Pale pink, cream-colored or colorless Granules: Primary: Rare Secondary: Abundant N/C ratio : Cytoplasm predominates Stage Image Description % in BM Myeloblast Size: 15- 20 um 02% Nucleus: Round to oval Nucleoli: 2-5 Chromatin: fine Cytoplasm: moderate basophilia Granules: absent or up to 20 N:C ratio : 4:1 Promyelocyte Size: 14-24 um 25 % Nucleus: Round to oval Nucleoli: 1-3 or more Chromatin: Fine, but slightly coarser than myeloblast Cytoplasm: basophilic Granules: Primary: >20 to many; colored red to purple or burgundy None Secondary: 3:1 N:C ratio :
Basophilic Rarely seen 5 19 %
myelocyte
Basophilic Rarely seen 13 22 %
metamyelocyte
Basophilic Rarely seen 17 33 %
band
Basophil Size: 10-14 um <1%
Nucleus: Usually 2 lobes connected by thin filaments without visible chromatin Nucleoli: Not visible Chromatin: Coarse, clumped Cytoplasm: Lavender to colorless Granules: Primary: Rare Secondary: Variable in number with uneven distribution, may obscure nucleus; deep purple to black; irregularly shaped N:C ratio : Cytoplasm predominates Stage Image Description % in BM Monoblast Size: 12-18 um Not defined Nucleus: Round to oval; may be irregular shaped Nucleoli: 1-2; may not be visible Chromatin: Fine Cytoplasm: Light blue to gray Granules: None N:C ratio : 4:1 Promonocyte Size: 12-20 um <1% Nucleus: Irregularly shaped; folded Nucleoli: May or may not be visible Chromatin: Fine to lacy Cytoplasm: Light blue to gray Granules: Fine azurophilic (burgundy colored) N:C ratio : 2-3:1
Monocyte Size: 12-20 um 2%
Nucleus: Variable; may be round, horseshoe shaped or kidney shaped Nucleoli: Not visible Chromatin: Lacy Cytoplasm: Blue-gray, may have pseudopods Granules: Many fine granules ; ground glass appearance Vacuoles: Absent to numerous N:C ratio : Variable
Macrophage Size: 15-80 um Macrophages
Nucleus: Eccentric, kidney or egg-shaped, indented or elongated reside in Nucleoli: 1-2 tissues such as bone Chromatin: Fine, dispersed marrow Cytoplasm: Abundant with irregular borders; may contain ingested material Granules: Many coarse azurophilic Vacuoles: May be present Stage Image Description % in BM Megakaryoblast Size: 10-24 um 20% of Nucleus: Round megakaryocyte Nucleoli: 2-6 precursors in bone marrow Chromatin: Homogenous, loosely organized Cytoplasm: Basophilic Granules: Absent by wright stain N:C ratio : 3:1 Promegakaryocyte Size: 15-40 um 25% of Nucleus: Indented megakaryocyte Nucleoli: Variable precursors in bone marrow Chromatin: Condensed Cytoplasm: Basophilic Granules: Present N:C ratio: 1:2 Megakaryocyte Size: 20-90 um 5-10 per 10x Nucleus: 2-32 lobes (8 lobes: most coomon) objective (x100 The size of the cell varies according to number of lobes magnification) 1- 2 per 50x present objective (x500 Cytoplasm: Blue to pink; abundant magnification) Granules: Reddish to blue; few to abundant N:C ratio: Variable
Platelets Size: 2-4 um NA
Nucleus: NA Cytoplasm: Light blue to colorless Granules: Red to violet, abundant N/C ratio: NA Stage Image Description % in BM Lymphoblast Size: 10-20 um Not Nucleus: Round to oval defined Nucleoli: 1 Chromatin: Fine, evenly stained Cytoplasm: Scant, slightly to moderately basophilic Granules: None N:C ratio : 7:1 to 4:1 Prolymphocyte Size: 9-18 um Not Nucleus: Round or indented defined Nucleoli: 0-1; usually single, prominent, large nucleolus Chromatin: Slightly clumped, intermediate between lymphoblast and mature lymphocyte Cytoplasm: Light blue Granules: None N:C ratio : 3-4:1 Lymphocyte Size: 7-18 um 5 to 15 Nucleus: Round to oval; may be slightly indented % Nucleoli: Occasional Chromatin: Condensed; clumped; blocky, smudged Cytoplasm: Scant to moderate; sky blue; vacuoles may be present Granules: None in small lymphocyte; may be a few azurophilic in larger lymphocytes; if granules are prominent, the cell is called a large granular lymphocyte N:C ratio : 5:1 to 2:1 Plasma cell Size: 8-20 um 0 to 1 % Nucleus: Round or oval, eccentric Nucleoli: None Chromatin: Coarse Cytoplasm: Deeply basophilic, often with perinuclear clear zone (hof) Granules: None Vacuoles: None to several N/C ratio: 2:1 to 1:1