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Chase the Case #50 - Acute Lymphoblastic Leukemia

New Yumizen H500 Open Tube_HORIBA Medical_Hematology Analyzer

Yumizen H500 Hematology Analyzer

November 2025 (PDF for print)

Patient Demographics: Male, 6 years old

Symptoms: Fever and generalized weakness

Diagnosis: Acute Lymphoblastic Leukemia (ALL) – B-cell type, confirmed by immunophenotyping and molecular cytogenetics

Microscopic Review: Blasts: 88%, Neutrophils: 3%, Lymphocytes: 9%. Peripheral blood smear revealed small to large heterogeneous blast cells with irregular nuclear shapes, frequent clefting, and inconspicuous to prominent nucleoli.

How Yumizen H500 Assisted: The HORIBA Yumizen H500 raised an alarm for “Blast” suspicion and flagged suspected pathologies, prompting a review for large immature cells and atypical lymphocytes. On the DIFF scattergram, a lymphoblast population was observed in the atypical lymphocyte area, corroborated by extended immature WBC differential values (ALY & IML).This advanced feature, available on a mid-range hematology analyzer, enables mid-segment laboratories to support early diagnosis and intervention—crucial for managing challenging cases like childhood leukemia at the primary care level.

Test results (Chase the Case #50)

This clinical case has been provided by Hematology Lab, Mumbai, India.

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