What is blood smear in CBC
Emma Valentine
Published Mar 18, 2026
A blood smear is a blood test that gives information about the number and shape of blood cells. It is often done as part of or along with a complete blood count (CBC).
How do you get a blood smear?
- Place clean glass slide on a flat surface. Add one small drop of blood to one end.
- Take another clean slide, and holding at an angle of about 45 deg, touch the blood with one end of the slide so the blood runs along the edge of the slide by capillary action. …
- Make 2 smears, allow to air dry, and label clearly.
What does an abnormal blood smear mean?
A blood smear is considered normal when your blood contains a sufficient number of cells and the cells have a normal appearance. A blood smear is considered abnormal when there’s an abnormality in the size, shape, color, or number of cells in your blood.
Why is a good blood smear necessary?
From the clinical standpoint, blood smear examination serves 3 important objectives. First, it serves as a quality control tool in verifying the results generated by the automated analyzers. Second, it allows for identification of abnormal/immature/atypical cells, if present.Can a blood smear detect leukemia?
For the peripheral blood smear (sometimes just called a smear), a drop of blood is smeared across a slide and then looked at under a microscope to see how the cells look. Changes in the numbers and the appearance of the cells often help diagnose leukemia.
Why is blood smear done?
A blood smear is often used as a follow-up test to abnormal results on a complete blood count (CBC) to evaluate the different types of blood cells. It may be used to help diagnose and/or monitor numerous conditions that affect blood cell populations.
Whats the advantage of a blood smear compared to a CBC?
Unlike automated tests (such as a CBC), a technician or healthcare provider looks at a blood smear under the microscope in order to detect a wide range of changes that give clues to underlying diseases.
What level of WBC indicates leukemia?
At the time of diagnosis, patients can have very, very high white blood cell counts. Typically a healthy person has a white blood cell count of about 4,000-11,000. Patients with acute or even chronic leukemia may come in with a white blood cell count up into the 100,000-400,000 range.What is a normal platelet count for a healthy person?
What is a healthy platelet count? A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. Having more than 450,000 platelets is a condition called thrombocytosis; having less than 150,000 is known as thrombocytopenia.
What were your first signs of leukemia?- Fever or chills.
- Persistent fatigue, weakness.
- Frequent or severe infections.
- Losing weight without trying.
- Swollen lymph nodes, enlarged liver or spleen.
- Easy bleeding or bruising.
- Recurrent nosebleeds.
- Tiny red spots in your skin (petechiae)
How long does it take to get results from a blood smear?
The blood smear is a quick test. Your doctor may draw blood from your arm or by pricking your finger. You usually get the results in one to two days.
What does a CBC look like with leukemia?
Complete blood count (CBC): This blood test gives details about red blood cells, white blood cells and platelets. If you have leukemia you will have lower than normal counts of red blood cells and platelets, and higher than normal counts of white blood cells.
What cancers are detected by blood tests?
Examples of tumor markers include prostate-specific antigen (PSA) for prostate cancer, cancer antigen 125 (CA 125) for ovarian cancer, calcitonin for medullary thyroid cancer, alpha-fetoprotein (AFP) for liver cancer and human chorionic gonadotropin (HCG) for germ cell tumors, such as testicular cancer and ovarian …
Does a normal CBC rule out leukemia?
CBC is the most useful initial laboratory test in patients suspected of having leukemia. Most patients will show some abnormality in the CBC and some blasts will be seen in the peripheral smear in patients with acute leukemias. To diagnose CLL, a lymphocytosis of greater than 5000/mm3 must be present.
How do you count RBC in blood smear?
Counting is done by eye. spreading or clumping of cells don’t affect the final result. Figure 1: Top view of the chambers of a Neubauer’s Hemocytometer for RBC (R) and WBC (W) counting with scales indicating sizes of each region. The height in the z-‐direction of the entire chamber is uniformly 0.1 mm.
How peripheral smear test is done?
To make a peripheral smear, a drop of blood is taken from the patient’s blood sample and is spread in a thin layer onto a glass slide. The slide is then stained with special stains. After the staining, the slide is examined and evaluated under the microscope for blood cells.
How is WBC counted in blood smear?
- Choose a one-cell layer area, no overlapping/crowding of cells and count WBCs present in several fields.
- Estimated # of WBCs per ml blood = (average # of WBCs per field x 1000) x 1/4.
What is low platelet level?
Thrombocytopenia means you have fewer than 150,000 platelets per microliter of circulating blood. Because each platelet lives only about 10 days, your body normally renews your platelet supply continually by producing new platelets in your bone marrow.
Do low platelets make you feel tired?
Thrombocytopenia (low platelet count) definition and facts. Symptoms and signs of thrombocytopenia may include fatigue, bleeding, and others.
What are the symptoms of low platelet count?
- More bruises, or worse bruises, than usual.
- Small purple or red dots under your skin.
- Nosebleeds or bleeding gums.
- Black or bloody-looking bowel movements.
- Red or pink urine.
- Vomit with blood in it.
- An unusually heavy menstrual period.
- Severe headaches.
Is 393 a high platelet count?
A high platelet count is 400,000 (400 × 109/L) or above. A higher-than-normal number of platelets is called thrombocytosis. It means your body is making too many platelets.
What does CBC look like with lymphoma?
Complete blood count (CBC) CBC measures certain parts of your blood, including: Red blood cells, which transport oxygen throughout the body. If lymphoma disrupts red blood cell production in the bone marrow, you may have a low red blood cell count, or anemia. White blood cells, which fight infection.
What cancers cause low WBC?
Low white blood cell count. Cancers that affect the blood and bone marrow can also lower the count. These types of cancers include leukemia, lymphoma, and multiple myeloma.
How is lymphoma detected?
A bone marrow aspiration and biopsy procedure involves inserting a needle into your hipbone to remove a sample of bone marrow. The sample is analyzed to look for lymphoma cells. Imaging tests. Your doctor may recommend imaging tests to look for signs of lymphoma in other areas of your body.
What are the warning signs of lymphoma?
Lymphoma warning signs include swollen lymph nodes, fever, chills, weight loss, shortness of breath, drenching night sweats, tiredness, and swelling in the abdomen. Lymphoma is a cancer of certain cells that are part of the body’s immune system called lymphocytes.
What were your first signs of lymphoma?
- Painless swelling of lymph nodes in your neck, armpits or groin.
- Persistent fatigue.
- Fever.
- Night sweats.
- Shortness of breath.
- Unexplained weight loss.
- Itchy skin.
What is the first stage of leukemia?
Stages of Chronic Leukemia Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.
What are good blood test results?
For some tests, such as the hemoglobin test, normal results vary by age. For children, for example, a hemoglobin level of about 11 to 13 grams/deciliter (g/dl) is normal, while for men, a value of about 14 to 17 g/dl is normal, and for women, 12 to 15 g/dl is normal.
What cancers can a CBC detect?
CBC tests are performed during cancer diagnosis, particularly for leukemia and lymphoma, and throughout treatment to monitor results. CBC tests can also: Indicate whether cancer has spread to bone marrow. Detect potential kidney cancer through an elevated red blood cell count.
What type of infections can a CBC detect?
Some of the most common diseases a CBC detects include anemia, autoimmune disorders, bone marrow disorders, dehydration, infections, inflammation, leukemia, lymphoma, myeloproliferative neoplasms, myelodysplastic syndrome, sickle cell disease, thalassemia, nutritional deficiencies (e.g., Iron, B12 or folate), and …
What cancers are not detected by blood tests?
During the trial, 24 additional cancers not identified by the blood test were picked up by standard screening: 20 breast cancers, 3 lung cancers, and 1 colorectal cancer. Of the 24 cancers, 22 were early-stage cancers.