What is the most likely diagnosis?

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WildWing

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A 17-year-old female presents with a high fever, ecchymoses on her trunk, and a five-month history of generalized fatigue. On examination, her skin is pale. A peripheral blood smear demonstrates pancytopenia and her bone marrow aspirate contains 35% blast cells. Based on this patient’s clinical presentation and bone marrow aspirate, what is the most likely diagnosis?

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A) Non-Hodgkin lymphoma

B) Chronic lymphocytic leukemia

C) Multiple myeloma

D) Acute myelogenous leukemia

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