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Multiple myeloma plus MDS   
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The diagnosis of multiple myeloma could easily be made in view of atypical plasma cells lacking the perinuclear Golgi zone. The additional myelodysplasia was missed initially.Nucleoli could be seen in many plasma cells.
The diagnosis of multiple myeloma could easily be made in view of atypical plasma cells lacking the perinuclear Golgi zone.  (Position 1)The additional myelodysplasia was missed initially. (Position 2)Nucleoli could be seen in many plasma cells. (Position 3)

A giant plasma cellDeeply blue cytoplasm; the Golgi zone is lacking.
A giant plasma cell (Position 4)Deeply blue cytoplasm; the Golgi zone is lacking. (Position 5) (Position 6)

Granulocytes and erythropoiesis do not show clear-cut dysplastic features. May be this granulocyte might have just two nuclear segments.Hypersegmentation of granulocytes is non-specific.
Granulocytes and erythropoiesis do not show clear-cut dysplastic features.  (Position 7)May be this granulocyte might have just two nuclear segments. (Position 8)Hypersegmentation of granulocytes is non-specific.  (Position 9)

Such a megakaryocyte with two separate nuclei cannot be found in normal bone marrow. A typical microkaryocyteAnother one.
Such a megakaryocyte with two separate nuclei cannot be found in normal bone marrow.  (Position 10)A typical microkaryocyte (Position 11)Another one. (Position 12)

 (Position 13) (Position 14)

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