Megakaryoblastic leukemia is diagnosed infrequently in human beings, and there are few reports describing megakaryoblastic leukemia in dogs. Since the identification of blast cells as precursors of the megakaryocytic cell line using conventional light microscopy is virtually impossible, megakaryoblasts often are confused with myeloblasts (Ml) or lymphoblasts (L1 or L2). The French-American-British Co-operative Group' has proposed specific criteria for identification and classification of acute megakaryoblastic leukemia (M7): 1) the blast cell population in the bone marrow must be 30% or more of all nucleated cells; 2) the leukemic cells are negative for Sudan black B or peroxidase activity; and 3) leukemic cells in the bone marrow and peripheral blood are identified as megakaryoblasts by ultrastructural evaluation for platelet peroxidase activity or by immunologic phenotyping for platelet glycoproteins Ib, IIb/IIIa, IIIa, or factor VIIIrelated In this report, cytochemical staining, ultrastructural morphology, and immunocytochemical staining were used to identify and characterize acute megakaryoblastic leukemia in a dog. A 2.5-year-old intact male Lhasa Apso was presented to the Ohio State University Teaching Hospital for anorexia, weight loss, and intermittent vomiting of several months duration. The dog was thin and had pale mucous membranes. A complete blood count revealed normocytic, normochromic, nonregenerative anemia (packed cell volume = 0.14, reference values- 0.37-0.52), leukocytosis (38.9 x 1 09/liter, reference values-6.5-19.0 x 109/liter), neutrophilia (24.1 x l09/liter, reference values-3.0-1 1.5 x 109/liter) with a left shift (band neutrophils, 3.9 x 109/liter, reference values-0.0-0.3 x 109/liter), circulating blast cells (7.4 x lo9/ liter), and many morphologically bizarre macroplatelets. Blast cells in the peripheral blood were characterized by conspicuous cytoplasmic blebs, vacuolation, and variable granulation (Fig. 1). Macroplatelets had similar cytoplasmic char
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