Table 1.
The analyses performed on the peripheral blood and the bone marrow at the diagnosis.
| Analyses on Peripheral Blood | |
| Complete blood count | WBC 0.87 × 103/μL (neutrophils 0.47 × 103/μL, lymphocytes 0.36 × 103/μL, monocytes 0.04 × 103/μL, eosinophils 0 × 103/μL, basophils 0 × 103/μL), PLTs 86 × 103/μL confirmed on citrate, hemoglobin 12.4 mg/dL, MCV 93 fl, hematocrit 36%. |
| Blood tests | PT ratio 1.11, aPTT ratio 0.85 and fibrinogen 489 mg/dL, creatinine 0.9 mg/dL (eGFR 94 mL/min), sodium 138.6 mmol/L, potassium 4.45 mmol/L, calcium 2.37 mmol/L, glucose 121 mg/dL, AST 28 U/L, ALT 64 U/L, GGT 41 U/L, ALP 61 U/L, total bilirubin 0.7 mg/dL, LDH 214 U/L, uric acid 5.6 mg/dL, C-reactive protein (6.34 mg/dL), erythrocyte sedimentation rate 93 mm/h, iron 55 μg/dL, transferrin 204 mg/dL, ferritin 522 ng/mL, folic acid 16.6 ng/mL, vitamin B12 > 2000 pg/mL, D-dimer 14,187 ng/mL. Negative serological tests for HBV, HCV, HIV, EBV, and CMV. |
| Analyses on Bone Marrow | |
| Flow cytometry | Big granular myeloid cells CD11b−, CD11c−, CD13+, CD33+, CD56−, CD117+, HLA-DR−, TdT−, and MPO+ amounting to 85% of cells, compatible with promyelocytes. |
| Histology | Cellularity of 80% to 90% characterized by an immature-looking myeloid population with oval nuclei and hypergranular eosinophilic cytoplasm. At the immunohistochemical assay, the cells showed intense and widespread positivity for MPO and weaker positivity for CD117, and they were negative for CD34, CD56, and TdT. |
| Molecular and cytogenetic analyses | Normal male karyotype at the cytogenetical analysis; presence of t(15;17) at the fluorescence in-situ hybridization (FISH); and PML-RARA fusion gene identified at the RT-PCR. |