Against the background of angina a patient has developed pain in tubular bones. Examination revealed generalized enlargement of lymph nodes, hepatoli-enal syndrome, sternalgia. In blood: RBCs - 3,6 × 1012/l, Hb- 87 g/l, thrombocytes - 45 × 109/l, WBCs - 13 × 109/l, blasts -87%, stab neutrophils - 1%, segmented neutrophils - 7%, lymphocytes - 5%, ESR - 55 mm/h. What is the most likely diagnosis?

Answer options

1. Chronic lymphocytic leukemia
2. Acute leukemia
3. Chronic myeloid leukemia
4. Multiple myeloma
5. Erythremia

Explanation

Against the background of angina a patient has developed pain in tubular bones. Examination revealed generalized enlargement of lymph nodes, hepatoli-enal syndrome, sternalgia. In blood: RBCs - 3,6 • 1012/l, Hb- 87 g/l, thrombocytes - 45 • 109/l, WBCs - 13 • 109/l, blasts -87%, stab neutrophils - 1%, segmented neutrophils - 7%, lymphocytes - 5%, ESR - 55 mm/h. What is the most likely diagnosis? Blast cell (abnormal immature white blood cells fill the bone marrow and spill into the bloodstream).found in acute leukemia.