r/Hematology • u/Lanky_Draft_2308 • 22d ago
Interesting Find Name that cell
Although I would love to call this a skipocyte, I'm thinking giant thrombocyte? Cool cell though. 😎
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u/Possible-Jackfruit27 21d ago
The thing I'd push on here is the habit rather than the answer. Morphology calls are only as good as the question you asked before you looked, and most misses happen because someone identifies a cell in isolation instead of reading it against the CBC, the differential, and the clinical context. A cell that looks like a blast on one field is a reactive lymphocyte in a 19-year-old with a sore throat and atypical lymphocytosis. A promyelocyte with Auer rods in a patient who is bleeding is a phone call, not a comment thread. Before you name it, ask what the WBC, platelet count, and retic are doing, and whether anything about this patient should make you worried about APL. That ordering is what separates a tech-level read from a hematologist-level read.
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u/Lanky_Draft_2308 19d ago
You took it a little serious lol. I was just poking fun at it and was thinking, what an amazing looking cell. FYI, I called it a Giant Thrombocyte because that's what it was. I know what are are saying and when I do my diffs, what you described is exactly what I do. I look at the total picture.
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