What cytological feature is characterized by fragile B lymphocytes breaking during smear preparation?

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Smudge cells are a distinctive cytological feature that occurs when fragile B lymphocytes break during the preparation of a smear. These cells are typically seen in conditions like chronic lymphocytic leukemia (CLL) and are characterized by their appearance as small, indistinct remnants of lymphocytes, often appearing as a smear or shadow on the slide where the actual cell structure has been disrupted. This fragility is due to the inherent weakness of the cell membranes in certain lymphocyte populations, particularly those affected by malignancies. The identification of smudge cells can be a critical diagnostic tool in hematology, especially in distinguishing specific types of lymphoid cancers.

Other options listed are associated with different features in hematologic disorders; for example, blast cells are indicative of acute leukemias, Auer rods are found in acute myeloid leukemia and signify myeloid differentiation, while Reed-Sternberg cells are characteristic of Hodgkin's lymphoma. Each of these features carries its own clinical significance, but in the context of fragile B lymphocytes during smear preparation, smudge cells are the identifying characteristic.

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