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Acute Lymphoblastic Leukemia

 

 

 

Morphology

    

 

Morphologic types of ALL - cytologic features:

 

L1 L2

L3

Cell size

small

predominate

large

heterogenous

large and heterogenous

Nuclear Chromatin

Homogenous

Variable

Heterogenous

Finely stippled &

Homogenous

Nuclear shape

Regular with occasional clefting or indentation

Irregular.

Clefting and indentation common

Regular oval to round

Nucleoli

Not visible or very small

One or more present

Often large

Prominent

One or more

vesicular

Amount of cytoplasm

Scanty

Variable

Usually moderately abundant

Moderately abundant

Basophilia of cytoplasm

Slight or moderate

Rarely intense

Variable

Deep in some

Very deep

Cytoplasmic

vacuolation

Variable Variable Often prominent

 

 

 

 

 

 

 

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