Answer the question

Q. A 28-year-old male presents with widespread ecchymoses and bleeding gums. Physical examination reveals enlargement of his spleen and liver. Laboratory examination of his peripheral blood reveals a normochromic, normocytic anemia, along with a decreased number of platelets and an increased number of white blood cells. Coagulation studies reveal prolonged prothrombin and partial thromboplastin times and increased fibrinogen degradation products. Examination of the patient’s bone marrow reveals the presence of numerous granular-appearing blast cells( as in the figure) . These immature cells make up about 38% of the nucleated cells in the marrow. The correct diagnosis for this patient is:
A) Acute erythroid leukemia
B) Acute promyelocytic leukemia
C) Acute monocytic leukemia
D) Acute myelomonocytic leukemia


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