The appearance of ''giant perichromatin granules'' to date has been co
nsidered pathognomonic of nasopharyngeal angiofibroma. We present the
finding of giant intranuclear granules in human megakaryocytes. The pa
tient was a 34-year-old woman with a diagnosis of Sebastian platelet s
yndrome. The bone marrow aspirate showed an increased number of megaka
ryocytes. Ultrastructural study revealed giant perichromatin-like gran
ules in the nuclei of 80% megakaryocytes. These granules were round or
oval and size ranged 230 to 540 nn. Further studies are needed in our
patient to determine the significance of these granules. Copyright (C
) 1998 by W.B. Saunders Company.