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Title: White Blood Cell Morphology with Pictures
Description: real time pictures taken during lab time on different Mature and immature White blood cells normal and with abnormalities

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Myeloblast




Makes up 0-3% of nucleated cells
Size: 14-20um
3 types

Type 1

High N:C ratio

Slightly basophilic cytoplasm

Fine nuclear chromatin

2-4 visible nucleoli

No visible granules

Type 2

Presence of primary (azurophilic) granules in cytoplasm

Granules don’t exceed 20 per cell

Type 3

Darker chromatin and more purple cytoplasm

>20 granules that don’t obscure the nuclear

Rarely found in normal bone marrow

Neutrophilic Myelocyte







In the bone marrow, comprises 6-17%
Final stage where mitosis occurs
Primary granules are no longer produced
Start of secondary or “specific” granules
Cytoplasm: becomes lavender pink due to specific granules
Decreasing cytoplasm nucleus ratio

Neutrophilic Metamyelocyte
Promyelocyte







1-5% of nucleated cells in the bone marrow
Larger than myeloblasts
Size: 16-25 um in diameter
Nucleus: Oval and eccentric
Cytoplasm: basophilic and ​filled with azurophilic granules
1-3 nucleoli are present, covered with granules







3-20% of nucleated marrow cells
No cell division occurs
Nucleus: “kidney bean”​ or “peanut shaped”
Absent nucleoli
Tertiary (gelatinase) granules start to be produced

Eosinophilic Segmenter
Neutrophilic Band







9-32% of nucleated marrow cells
0-5% of nucleated peripheral blood cells
RNA is absent, no basophilia
Tertiary granule production continues
Secretory granules start being made
Nuclear indentation​ is more than ½ the nuclear diameter, ​no segmentation yet





Half life is roughly 18 hours, prolonged when eosinophilia occurs
Nucleus is usually bilobed
Cytoplasms contains large, bright red-orange, secondary granules that have enzymes and
proteins
1-3% of the nucleated cells in the bone marrow
1-3% of peripheral blood
Eosinophil granules contain cytokines, chemokines, growth factors, and cationic proteins




Functions

Immune regulation: act as antigen presenting cells and promote effector T cells proliferation

Hallmark of allergic disorders

Eosinophilia occurs in parasitic helminth infections, and are capable of destroying
tissue-invading helminths

Basophilic Segmenters
Neutrophilic Segmenter aka Polymorphonuclear Cell (PMN)









Size: 10-15 um
N:C ratio= 1:3
Normal reference range in the blood: 60-70%
Half life is 4-8 hours in the blood and about a day in the tissues
Nucleus: has coarse, clumped chromatin with 3-5 lobes connected by thin filaments
Cytoplasm is pink and filled with small, pale blue to pink specific/ secondary granules
Major function is phagocytosis and destruction of foreign material and microorganisms
Seeking (chemotaxis, motilit, and diapedesis) and destruction (phagocytosis and digestion)


Size: 10-15 micrometers

Cytoplasm: large, purple-black, secondary granules containing heparin and histamine

Granules are numerous and ​obscure the nucleus
Reference range

0-2% in circulating leukocytes

<1% of nucleated cells in the bone marrow
Functions

Initiators of allergic inflammation through the release of preformed cytokines

Involved in the control of helminth infections

Lymphocyte

Size: 7-18 micrometers

2nd most numerous WBC in blood

Round/oval or slightly indented nucleus: condensed chromatin

(very little) Scant-moderate amount of blue cytoplasm: Few azurophilic granules
Function: play an immune response role

B-cells act in humoral immunity: produce antibodies

T-cells or NK cells act in cellular immunity: initiate attack to foreign organisms or cells directly
Circulating lymphocytes:

B-cells: 3-21%

T-cells: 88%

Natural killer (NK) cells: 4-29%

Plasma Cell







Size: 9-20 microns
Nucleus: Dark purple, ovoid and​ eccentrically placed, with a wheel-spoke pattern
Cytoplasm is abundant and deep blue ​with a clear area next to the nucleus
Plasma cells develop from B cells that have been activated a s form of immune response
Their primary function is to produce antibodies against substances that the antibody considers
as “foreign”
Associated conditions: Plasma cells dyscrasias, response to infection specially of viral origin

Monocytes
Plasmablast








Size: 12-15 microns
N:C ratio=4:1
Nucleus is round with an increased N:C ratio
Nucleus: purplish red with fine and linear strands of chromatin
...
​ Nucleus stains with fine, delicate linear stands of chromatin
N:C ratio: 1:1
Cytoplasm: blue-gray, finely granular (ground glass) appearance
...
May contain varying amounts of granules
Auer rods: Reddish-purple, rod shaped cytoplasmic inclusions which results from the alignment of
primary granules (Characteristic for acute myelogenous leukemia)
Associated conditions: acute myelocytic leukemia (FAB M1 and M2)








Size: 14-18 microns
Type of lymphoblast (L3 FAB Classification)
Nucleus: oval to round, purple, and has a finely stippled and homogenous chromatin pattern
Increased N:C ratio= 5:1 to 4:1 with 1-2 nucleoli are often prominent
Cytoplasm is intensely basophilic with prominent vacuolization​ (characteristic of conditions)
Associated conditions​: Burkitt’s lymphoma, acute lymphoblastic leukemia L3
MEGAKARYOCYTE PLATELET

Reactive Lymphocyte





Increased size! Size: 10-25 microns
Nucleus: oval, notched, indented, or elongated
...
​ May be partially
indented ​by adjacent red cells
...

Nucleoli is absent
N:C ratio of 1:1 to 1:12
Cytoplasm: Pinkish-blue with many reddish
blue granules

Platelets








Size: 1-4 microns
Nucleus is absent
Cytoplasm: light blue with small
reddish-blue granules
Platelets are anucleate ​cytoplasmic
discs derived from megakaryocytes in
the blood
Functions in hemostasis, thrombosis,
inflammation, and vascular biology
Derived from proplatelets which come
from the fragmentation of the
megakaryocytes’ cytoplasm in the BM


Title: White Blood Cell Morphology with Pictures
Description: real time pictures taken during lab time on different Mature and immature White blood cells normal and with abnormalities