A 28 year old male presents with ecchymoses in all over the body 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 blast cells with numerous Auer rods. These immature cells make up about 36% of the nucleated cells in the marrow.
Which of the following is the most likely diagnosis?
a. Acute lymphoblastic leukemia
b. Acute erythroid leukemia
c. Acute myelomonocytic leukemia
d. Acute promyelocytic leukemia
e. Acute monocytic leukemia