“…From previous studies it is obvious that patients with AMM present with strikingly variable clinical (Bouroncle and Doan, 1962;Ward and Block, 1971;Varki et al, 1983;Lewis, 1985;Geary, 1985) as well as histomorphological features (Linman and Bethell, 1957;Pitcock et a/., 1962;Rosenthal and Moloney, 1969;Silverstein, 1975;Lohmann and Beckman, 1983;Frisch et al, 1984;Georgii et al, 1980Georgii et al, , 1984aFrisch and Bartl, 1985;Burkhardt et al, 1984Burkhardt et al, , 1986 at diagnosis. Initially a leukoerythroblastic blood reaction with tear-drop poikilocytosis may be inconspicuous in many patients.…”