a rare case of acute myeloid leukemia with translocation (3:3) presenting with features of chronic myelomonocytic leukemia

background: acute myeloid leukemia (aml) with translocation (3,3) is a form of aml that may present de novo or may arise from a previous myelodysplastic syndrome. it is often associated with normal or elevated peripheral blood platelet count and increased bone marrow megakaryocytes with associated multi lineage dysplasia. a subset of patients present with hepatosplenomegaly while a few cases have less than twenty percent blasts at the time of diagnosis, including cases with features of chronic myelomonocytic leukemia (cmml). here we present a rare case presenting initially with features of cmml who eventually turned out to be a case of aml with translocation (3, 3). key words: acute myeloid leukemia, translocation, malignancy.