Szanowna Pani,
Dostałem dziś jeszcze badanie szpiku. Jak z tego widać nie biora pod uwagę hisyiocytozy, ale sugeruja badania w kierunku szpiczaka mnogiego - elektroforeza białek, badania radiologiczne kośćca. Powinniśmy omówić te badania.
Z poważaniem,
Dariusz Jagielski
----- Original Message -----
From:
hotline-germany@idexx.com To:
mux_BIAL@localhost.europe.idexxi.com Sent: Monday, June 07, 2010 4:15 PM
Subject: Meljon-Pilawa - Dog Chivas (Final report 07.06.10 16:10:29) LabNr.HI27579704062010
Właściciel / Owner Meljon-Pilawa Numer identyfikacyjny / Order ID 94591603
Zwierzę / Animal Dog Chivas Numer laboratoryjny / Laboratory No. HI275797/04.06.2010
Test Wynik / Result Sign Wartość referencyjna / Reference value Jednostka / Unit Uwagi / Remark
Zytologische Untersuchung 1)
MYELOGRAMM (NO REGENERATIVE ANEMIA)
No hemogramm data given.
4 slides examined.
The submitted sample is of good diagnostic quality,
The cellularity is high.
Hemorrhagic background.
Megakariocytosis:+++ The megakariocytes are mature and
quite normal in their morphological aspect.
Erythroid lineage: poorly represented and not stimulated. It is
characterized by a majority of
polychromatophil rubricytes and metarubricytes,
without any morphological anomaly.
Myeloid lineage: well represented, not
stimulated and characterized by a majority of
mature neutrophils.
There aren.t any morphological anomalies in this lineage.
There are no abnormal lymphocytosis, monocytosis observed
However a small contingent (5%) of plasma cells, sometimes
dysplastic is observed..
There are no germ or parasites observed with the
May Grunwald stain.
CONCLUSION
The cytological aspect of the myelogramm is
consistent with an erythroid hypoplasia.
The anaemia seems to be of central origin.
The other lineages appear normal.
However the presence of a small atypical contingent
of plasma cells should be considered and it is for this reason
that it is recommended to perform a serum protein
electrophoresis together with a Rx of the bones in order to exclude
a plasma cells neoplasia.
BONE MARROW CELLS DIFFERENTIAL COUNT
Myeloblasts/Promyelocytes: 3%
Myelocytes: 2%
Metamyelocytes: 10%
Band/segmented neutrophils: 70%
Band/segmented eosinophils: 3%
Total Myeloid cells: 88%
Rubriblasts/Prorubricytes: 0%
Basophilic rubricytes: 1%
Polychromatophilic rubricytes: 2%
Metarubricytes: 3%
Total Erythroid cells: 5%
Myeloid/Erythroid: 17,6
Lymphocytes: 1%
Plasmacells: 5%
Monocytes/macrophages: 1%
Blasts: 0%
Your sample was examined by: Mrs. V. Turinelli PHD Dipl ECVCP
(e-mail-Adresse:
vanessa-turinelli@idexx.com)
Uwagi / Note:
1) Histopathology and cytology results can be discussed Monday to Friday, 11:00 h to 16:00 h.
*** Wynik końcowy / Final report *** validated by Dr. Busch
przez kerovynn » 2010-06-07, 09:49 
Dołączam się z kciukami za optymistyczną diagnozę Chivaska i dużo siły życzę
...
