Image Challenge #3

A 28-year-old female presented with a bleeding tendency for few days and ecchymotic spots on her arms. Her Complete blood count and blood film showed pancytopenia with abnormal white blood cells. A bone marrow study showed a heavy infiltration of abnormal characteristic cells.

What is the most likely diagnosis?

Presented by Dr. Sabreen Q. Ibrahim, M.B.CH.B, F.I.B.M.S, EHA, University of Kufa, College of Medicine, Hematology Oncology Hospital, Najaf, Iraq.

Answer: Acute Promyelocytic Leukemia