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©2013 UpToDate ® Print Email Chronic myelomonocytic leukemia peripheral smear Chronic myelomonocytic leukemia, peripheral blood. Monocytes are increased and show a higher nucleus:cytoplasm ratio compared with normal cells. Reproduced with permission from: Farhi DC. Myelodysplastic syndromes. In: Pathology of Bone Marrow and Blood Cells, 2nd ed, Farhi DC (Ed), Lippincott Williams & Wilkins, Philadelphia 2009. Copyright © 2009 Lippincott Williams & Wilkins. file://www.lww.com