Blast cells do not normal circulate in peripheral blood.
Their presence in peripheral blood usually indicates a type of leukemia.
Blast Appearance
Blast cells have scant and basophilic cytoplasm that is usually agranular. The nucleus contains visible nucleoli with fine chromatin.

Lookalikes
Activated lymphocytes can be mistaken for blasts. However, there are several notable differences. Activated lymphocytes have a lighter blue cytoplasm with a dark periphery, clumpier chromatin, and lack nucleoli.
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