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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_2768_Библиотеки_им_академика_М_И_Перельмана

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BASOPHIL
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CHAPTeR 7 Basophil Maturation
67
A
FIGURE 7.2A Basophil.
SIZE: 10 to 14 μm
NUCLEUS: Usually two lobes connected by thin
laments without visible chromatin
Nucleoli: Not visible Chromatin: Coarse, clumped
CYTOPLASM: Lavender to colorless
Granules:
PRIMARY
Rare
SECONDARY
Large, variable in number with uneven distribution, may obscure nucleus (Figure 7.2A); deep purple to black; irregularly shaped. Granules are water soluble and may be washed out during staining; thus they appear as empty areas in the cytoplasm (Figure 7.2B).
B
FIGURE 7.2B Basophil. Note that granules are water
soluble and may be dissolved during the staining process, leaving clear areas in the cytoplasm.
C
FIGURE 7.2C Electron micrograph of basophil
(×28,750).
N:C RATIO: Cytoplasm predominates
REFERENCE INTERVAL:
Bone Marrow: Less than 1% Peripheral Blood: 0% to 1%
Refer to Table 1.1 for more examples.
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SECTION 2 Hematopoiesis
S T E
M
P R O G
E N
I
T O R
P R
E C U R
S O R
Multipotent hematopoietic stem cell
Common myeloid progenitor
Eosinophil-basophil progenitor
Myeloblast
Promyelocyte
Basophilic myelocyte
Basophilic meta­myelocyte
FIGURE 7.3 Maturation parallels that of the neutrophil; however, immature stages are very rare and
generally seen only in basophil proliferative disorders. (A) Basophil.
P E R
I
P
B
H
L
E
O
R
O
A
D
L
Basophilic band
Basophil
A
CHAPTER 8
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MONOCYTE MATURATION
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SECTION 2 Hematopoiesis
S T E
M
P
R O G
E
N
I
T O
R
P
R
E
C
U
R
S O
R
Multipotent hematopoietic stem cell
Common myeloid progenitor
Granulocyte-monocyte progenitor
Monoblast
Promonocyte
All photomicrographs are ×1000 original magnication with Wright-Giemsa staining unless stated otherwise.
P
B
E
L
R
O
I
O
P
D H E
T
I
R
S
A
S
L
U
E
FIGURE 8.1 Monocyte sequence: monoblast.
Monocyte
Macrophage
MONOBLAST
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ChApTER 8 Monocyte Maturation
Cytoplasm
Nucleoli
Nucleus
71
A
FIGURE 8.2A Monoblast.
SIZE: 12 to 18 μm
NUCLEUS: Round to oval; may be irregularly shaped
Nucleoli: 1 to 2; may not be visible Chromatin: Fine
CYTOPLASM: Light blue to gray
Granules: None
N:C RATIO: 4:1
REFERENCE INTERVAL:
Bone Marrow: Not dened Peripheral Blood: 0%
B
FIGURE 8.2B Schematic of monoblast.
72
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SECTION 2 Hematopoiesis
S T E
M
P R O G
E N
I
T O R
P R
E C U R
S O R
Multipotent hematopoietic stem cell
Common myeloid progenitor
Granulocyte-monocyte progenitor
Monoblast
Promonocyte
B
P
L
E
O
R
O
I
D
P H E
T
I
R
S
A
S
L
U E
FIGURE 8.3 Monocyte sequence: promonocyte.
Monocyte
Macrophage
PROMONOCYTE
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ChApTER 8 Monocyte Maturation
Vacuole
Nucleolus
Cytoplasm with fine granules
Nucleus
73
A
FIGURE 8.4A Promonocyte.
B
FIGURE 8.4B Schematic of promonocyte.
SIZE: 12 to 20 μm
NUCLEUS: Irregularly shaped; folded; may have brainlike convolutions
Nucleoli: May or may not be visible Chromatin: Fine to lacy
CYTOPLASM: Light blue to gray
Granules: Fine azurophilic (burgundy colored)
N:C RATIO: 2:1 to 3:1
REFERENCE INTERVAL:
Bone Marrow: Less than 1% Peripheral Blood: 0%
74
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SECTION 2 Hematopoiesis
S
T E M
P R O G E N
I
T O R
P R E C U R S O R
Multipotent hematopoietic stem cell
Common myeloid progenitor
Granulocyte-monocyte progenitor
Monoblast
Promonocyte
P
B
E
L
R
O
I
O
P
D H E
T
R
I
A
S L
S
U
E
FIGURE 8.5 Monocyte sequence: monocyte.
Monocyte
Macrophage
MONOCYTE
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Cytoplasm
ChApTER 8 Monocyte Maturation
Nucleus
75
A
FIGURE 8.6A Monocyte.
B
FIGURE 8.6B Schematic of monocyte.
Vacuoles
D
C
FIGURE 8.6C Monocyte without vacuoles.
SIZE: 12 to 20 μm
NUCLEUS: Variable; may be round, horseshoe shaped, or kidney shaped; often has folds producing brainlike convolutions
Nucleoli: Not visible Chromatin: Lacy
CYTOPLASM: Blue-gray; may have pseudopods
Granules: Many ne granules frequently giving the appearance of ground glass Vacuoles: Absent to numerous
N:C RATIO: Variable
REFERENCE INTERVAL:
Bone Marrow: 2% Peripheral Blood: 3% to 11%
Refer to Table 1.1 for more examples.
FIGURE 8.6D Electron micrograph of monocyte
(×16,500). Specimens for electron microscopy are prepared by embedding tissue in a suitable medium, such as resin. Ultra-thin cross sections are then pre­pared. Because this image shows a cross section, the lobes of the nucleus appear to be separate, but are not.
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SECTION 2 Hematopoiesis
S T E
M
P R O G
E N
I
T O R
P R
E C U R
S O R
Multipotent hematopoietic stem cell
Common myeloid progenitor
Granulocyte-monocyte progenitor
Monoblast
Promonocyte
P
B
E
L
R
O
I
O
P
D H E
T
R
I
A
S
S
L
U
E
FIGURE 8.7 Monocyte sequence: macrophage.
Monocyte
Macrophage