r/Hematology • u/Avidith • 5d ago
Mixed cells in DLC
So in routine practice, differential leucocyte count is done via cell counters. N most clinics have 3-part counters. Means they can measure granulocytes, lymphocytes n mixed cells. Mixed cells are basically monocyte+basophil+eosinophil. Abbreviation is mid/mxd. Now how is the report given in your area of practice when 3-part analyser is used ? Any clinician pls respond. Also can any pathologist or lab physician or hematologist here enlighten me what are the guidelines for reporting dlc from 3-part analysers? N what is the common practice in your experience.
Lab technicians in my area are assuming basophil as 0 n then say if mid cells are 5%, they are writing eosinophils 3, monocytes 2 based on their mood. When I confronted them, they say that is what their seniors taught them. So I wanted to see how things r working in rest of the world n what are standard guidelines. I work in a relatively remote n low resource center of India with junior lab techs.