AML Morphological Features: Auer Rods

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Questions and Answers

What percentage of NEC are BM maturing monocytic cells?

  • ≥ 30%
  • > 10%
  • ≤ 10% (correct)
  • 20%

What is the normal value of lysozyme estimation in serum?

  • 5.5 µg/mL
  • 11.5 ± 4 µg/mL (correct)
  • 20.5 µg/mL
  • 15.5 µg/mL

What type of AML is characterized by the presence of maturation?

  • AML M1
  • AML M4
  • AML M2 (correct)
  • AML M3

What is the minimum value of lysozyme estimation that should be exceeded in serum?

<p>33.5 µg/mL (D)</p> Signup and view all the answers

What is the minimum percentage of blasts required for ANC in AML?

<p>30% (B)</p> Signup and view all the answers

Which of the following is a criteria for diagnosing AML M1?

<p>Blasts ≥ 30% of ANC (A)</p> Signup and view all the answers

What is the normal value of lysozyme estimation in urine?

<p>2.5 µg/mL (B)</p> Signup and view all the answers

What is the subtype of AML that exhibits minimal maturation?

<p>AML M1 (A)</p> Signup and view all the answers

What is the minimum value of lysozyme estimation that should be exceeded in urine?

<p>7.5 µg/mL (D)</p> Signup and view all the answers

What is the purpose of estimating lysozyme levels?

<p>Not mentioned in the content (B)</p> Signup and view all the answers

What are Auer rods primarily composed of?

<p>Abnormal azurophilic granules (D)</p> Signup and view all the answers

What is the characteristic staining pattern of Auer rods?

<p>Red (C)</p> Signup and view all the answers

In which type of cells are Auer rods typically seen?

<p>Myeloblasts (C)</p> Signup and view all the answers

What is the significance of Auer rods in AML diagnosis?

<p>They are a diagnostic feature (D)</p> Signup and view all the answers

What is the cellular component that Auer rods represent?

<p>Abnormal azurophilic granules (D)</p> Signup and view all the answers

What percentage of ANC must be composed of blasts to meet the diagnostic criteria for AML?

<p>30% (C)</p> Signup and view all the answers

In AML-M5a (Monoblastic), what percentage of the bone marrow monocytic component must be composed of monoblasts?

<p>80% (C)</p> Signup and view all the answers

What percentage of NEC must be composed of blasts to meet the diagnostic criteria for AML?

<p>30% (A)</p> Signup and view all the answers

Which of the following is a characteristic feature of AML-M5a (Monoblastic)?

<p>High percentage of monoblasts in the bone marrow monocytic component (D)</p> Signup and view all the answers

What type of cells does Sudan Black B bind to?

<p>Granulocytes, eosinophils, and some monocytes (C)</p> Signup and view all the answers

What is the characteristic feature of blasts in AML?

<p>Presence of Auer rods (A)</p> Signup and view all the answers

What is the property of Sudan Black B?

<p>Lipophilic (D)</p> Signup and view all the answers

In which type of leukemia is Sudan Black B typically positive?

<p>AML (D)</p> Signup and view all the answers

What is the result of Sudan Black B in ALL?

<p>Negative (B)</p> Signup and view all the answers

What type of granule component does Sudan Black B bind to?

<p>Undefined (A)</p> Signup and view all the answers

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Study Notes

AML Classification

  • AML is classified based on morphological features, including Auer rods.

Auer Rods

  • Auer rods are distinctive red-staining rods seen in the cytoplasm of myeloblasts.
  • They represent abnormal azurophilic granules.

AML M1

  • Criteria for diagnosis of AML M1 include:
    • Blasts ≥ 30% of ANC.
    • Blasts ≥ 30% of NEC.
    • BM maturing monocytic cells (promonocytes & monocytes) ≤ 10% of NEC.

AML M2

  • AML M2 is characterized by AML with maturation.

AML M5a (Monoblastic)

  • Monoblasts ≥ 80% of BM monocytic component.

Cytochemistry

  • Sudan Black B (SBB) is a lipophilic dye that binds irreversibly to an undefined granule component in:
    • Granulocytes.
    • Eosinophils.
    • Some monocytes.
  • SBB is:
    • Positive in AML M1 – M4.
    • Negative in ALL.

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