Case Studies in Hematology - Malignant WBC Disorders (Online CE Course)

(based on 48 customer ratings)

Author: Margaret Reinhart, MS, MLS(ASCP)
Reviewer: Joshua J. Cannon, MS, MLS(ASCP)CMSHCM

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This course presents case studies pertaining to malignant/neoplastic disorders. Each case is presented, followed by several pertinent questions. Answers for each question are then given, along with a brief discussion to explain these answers. The course taker will then have the opportunity to answer questions based on the concepts learned in the case.

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Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 1 hour(s)
Approved through 2/28/2027
Approved through 2/28/2027

Objectives

  • Correlate laboratory data with patient history, signs, and symptoms.
  • Recognize abnormalities in the CBC and other hematology test results as they pertain to the cases presented.
  • Upon reviewing the CBC, recognize which of the tests could indicate a possible malignant condition.
  • Analyze the laboratory data and other information given in the case.
  • Propose possible diagnoses as well as additional laboratory tests which will help to arrive at a definitive diagnosis of the case.
  • Explain the pathophysiological concepts of the malignant disorder in each case.

Customer Ratings

(based on 48 customer ratings)

Course Outline

Click on the links below to preview selected pages from this course.
  • The 2022 WHO Revision of Hematologic Malignancies
  • A Three-Year-Old with Acute Lymphoblastic Leukemia: A Review of Current and New Diagnostic Tests
      • Three-Year-Old Child Presenting with Bruising, Lethargy, and Fever
      • Interpretation of CBC and Additional Testing
      • Immunophenotyping in ALL
      • Cytogenetic Analysis
      • Molecular Testing
      • Discussion of Childhood Acute Lymphoblastic Leukemia
      • Immunophenotyping is a useful diagnostic technique to determine cell lineage in acute leukemias. Specifically, this technique detects which of the fol...
      • Some favorable factors (i.e., good prognosis) in childhood leukemias include which of the following?
      • According to WHO, what is the percentage of blasts that triggers a diagnosis of acuteleukemia?
  • A 72-Year-Old Male with Plasma Cell Myeloma
      • Patient Symptoms and Initial Testing
      • Discussion and Further Testing
      • Further Identification of the M Protein
      • Testing for Prognostic Indicators
      • Pathophysiology of Plasma Cell Myeloma
      • Symptoms and Treatment of Plasma Cell Myeloma
      • Which of the following is not a symptom of plasma cell myeloma?
      • Match the result commonly seen in plasma cell myeloma to the laboratory test. Note that not all of these are found in every plasma cell myeloma patien...
      • Fluorescence In Situ Hybridization (FISH) is a laboratory test frequently performed on plasma cell myeloma patients. This test detects which of the fo...
  • Controversial Diagnosis of Essential Thrombocythemia of a 68-Year-Old Patient
      • Initial Laboratory Tests and Presenting Symptoms
      • Results of Follow-up Tests and More Testing
      • More Tests and a Diagnosis
      • Pathophysiology of Essential Thrombocythemia (ET)
      • Symptoms and Treatment of ET
      • Is This Really the Correct Diagnosis?
      • Common laboratory findings at initial diagnosis of essential thrombocythemia (ET) include:
      • The following criteria must be excluded in order to establish a diagnosis of ET:
      • Which of the following diseases is difficult to distinguish from ET?
  • A 77-Year-Old Man with Dysplasia and Blasts: Myelodysplastic Neoplasm with Increased Blasts-2 (MDS-IB2)
      • Symptoms and Initial CBC
      • Differential
      • Discussion of Results and Further Testing
      • Definitive Diagnosis
      • Pathophysiology of Myelodysplastic Neoplasms (MDS)
      • Pathophysiology of MDS-IB2
      • Clinical Course, Prognosis and Treatment of MDS-EB2
      • Check all of the laboratory results that can be seen in MDS.
      • Which of the following white blood cell morphologies can be seen in MDS-IB2?
  • References

Additional Information

Level of instruction: Intermediate
Intended AudienceMedical laboratory scientists, medical laboratory technicians, laboratory supervisors, and laboratory managers. This course is also appropriate for MLS and MLT students and pathology residents.
Author: Margaret Reinhart, MS, MLS(ASCP), is an adjunct instructor of Hematology at the Pennsylvania Hospital Medical Laboratory Science program, which is part of the Hospital of the University of Pennsylvania. From 1990 to 2020, she was the Medical Laboratory Science Program director at the University of the Sciences.
The author has no conflict of interest to disclose.  
Reviewer: Joshua J. Cannon, MS, MLS(ASCP)CMSHCM received his Bachelor of Science and Master of Science in Medical Laboratory Science from Thomas Jefferson University in Philadelphia, PA. He holds Medical Laboratory Scientist and Specialist in Hematology certifications through the ASCP Board of Certification. He was a professor at Thomas Jefferson University for seven years before transitioning into his current role as Education Developer at MediaLab by Vastian. His areas of expertise and professional passions include clinical hematology and interprofessional education.

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 181 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
A smear with numerous lymphoblasts (ALL L1) (10).


ALL, PAS


multiple myelom resize


Plasma Cells


Serum protein electrophoresis normal and multiple myeloma


Hypogranular neutrophil with a pseudo-Pelger-Huet nucleus in MDS


BM biopsy showing megakaryocytic hyperplasia and clustering consistent with essential thrombocythemia. Used with permission from: S G Holtan, J D Hoyer and F K Buadi.


Plasma cells.  Sheets of plasma cells, as seen in this field of view, are abnormal.  Multiple myeloma must be ruled out. EMHCP417070