The initial diagnosis was determined by integrating the results of flow cytometry and bone marrow aspiration, resulting in 8 different AML diagnoses: acute megakaryoblastic leukemia, acute monocytic leukemia, acute myeloid leukemia with maturation, acute myeloid leukemia with mutated NPM1, acute myeloid leukemia with t(16;16)(p13.1;q22), acute monocytic leukemia, acute myeloid leukemia with t(8;21)(q22;q22.1), and acute myelomonocytic leukemia. Here, NPM1 is linked to acute myelomonocytic leukemia M4.