Tables and Figures from Perspectives in Pathology
|
Perspectives in Pathology
Figures
The bone marrow aspirate and biopsy procedure. |
 |
 |
| (a) A 16 gauge Illinois sternal/Iliac aspiration needle has been placed into the marrow cavity. The obturator of the needle has been removed and a 10 mL syringe attached to the hub. Suction is being applied to the syringe, with successful aspiration of marrow. |
(b) An experienced medical technologist is preparing smears from small drops of the bone marrow aspirate placed on glass microscope slides.
|
 |
 |
| (c) A 4", 11 gauge, Snarecoil bone marrow biopsy/aspiration needle has been inserted into the posterior iliac crest for biopsy procurement. The length of biopsy core in needle is being determined by carefully reinserting obturator. Ideally, the core length should be 2 cm or greater. |
(d) Touch imprints of the biopsy core are being prepared by gently touching a clean glass microscope slide to the biopsy core resting on another glass slide. Cells on the surface of the core stick to the clean slide, which is later stained by the Wright-Giemsa technique. Cytologic detail of the cells can be visualized and complements the aspirate and biopsy. |
Table
Indications for Bone Marrow Procedure |
|
Major Indication |
Diseases |
|
Disease diagnosis |
Pancytopenia or unexplained anemia, leucopenia or thrombocytopenia
Acute leukemia
Chronic leukemia
Myelodysplastic syndrome
Myeloproliferative disease
Plasma cell dyscrasia
Non-Hodgkin lymphoma
Hodgkin lymphoma
Aplastic anemia
Fever of unknown origin
Small cell tumors of childhood
Mast cell disease
Disseminated granulomatous disease
Thrombotic thrombocytopenic purpura
Primary amyloidosis
Metabolic bone disease |
|
Therapeutic follow-up |
Chemotherapy/bone marrow transplantation for hematopoietic neoplasms or small cell tumors of childhood
Treatment of isolated cytopenia |
|
|
|
|
|