A 55-year-old man presents to your oncology office and reports feeling very tired, feeling short of breath and losing weight for the last 3 weeks. Upon review of his history, you note that he also has fevers, bruising easily and bone pains on various locations in his body. Upon physical examination, you note that he is pale with a petechial rash and that he has an enlarged liver and spleen. You note a wound on his right foot, which has not healed for over two months. You sent him for some laboratory tests, which reveal the following: Test Result Normal range Leukocyte count (WBC) 105,000 /mm³ 4500-11,000/mm³ Platelets 75,000 /mm³ 150,000 – 400,000/mm³ Hemoglobin 7.2 g/dL Male:13.5-17.5 g/dL Female 12.0 – 16.0 g/dL Blasts 80% <5% Hematocrit 20% Male:41% - 53% Female: 36% - 46% Peripheral smear showed pancytopenia; some cells have rod-shaped; needle-like, cytoplasmic, azurophilic granules. Further cytogenetic tests were done; Immunological phenotypes detected: MPO, CD11b, CD13, CD15, CD33, CD117, HLA-DR positive myeloblasts. The blasts react with antibodies to myeloperoxidase and antibodies to CD13, CD33, and CD34. Of the following, which is the most likely diagnosis in this patient?
