Bone marrow: Difference between revisions
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*'''Reticulin''' to grade the amount of fibrosis. | *'''Reticulin''' to grade the amount of fibrosis. | ||
*'''CD3''' and '''CD20''' to highlight T and B cells, respectively. | *'''CD3''' and '''CD20''' to highlight T and B cells, respectively. | ||
====Microscopic report==== | |||
Example template: | |||
{{Comprehensiveness|otherlegend=yes|noheader=yes}} | |||
{|class=wikitable | |||
| | |||
SOURCE: | |||
:Bone marrow aspirate and biopsy | |||
CLINICAL INFORMATION: | |||
:{{Finding-begin}}Lymphocytosis / Pancytopenia / Anemia etc {{Finding-end}} | |||
DIAGNOSIS:<br>PERIPHERAL BLOOD: | |||
:{{Finding-begin}}Lymphocytosis / Pancytopenia / Anemia etc {{Finding-end}} | |||
BONE MARROW, {{Finding-begin}}POSTERIOR ILIAC CREST,{{Finding-end}} ASPIRATE AND BIOPSY: | |||
:{{Finding-begin}}Chronic/Acute lymphocytic/myeloid leukemia.{{Finding-end}} | |||
:See description and comment. | |||
GROSS DESCRIPTION: | |||
:{{Comment-begin}}As per gross report above.{{Comment-end}} | |||
MICROSCOPIC DESCRIPTION: | |||
: | |||
PERIPHERAL SMEAR: | |||
{{col-begin|width=95%}} | |||
|- | |||
| | |||
:WBC:__ x103/ul | |||
:RBC:__ x106/ul | |||
:HGB:__ g/dl | |||
:HCT:__ % | |||
:MCV:__ fl | |||
:MCHC:__ g/dl | |||
:RDW-CV:__ % | |||
:PLT:__ x103/ul | |||
:RETIC:__ % | |||
| | |||
DIFFERENTIAL(%): | |||
:NEUTR/BANDS:_ | |||
:LYMPHS:_ | |||
:MONOS:_ | |||
:EOS:_ | |||
:BASOS:_ | |||
:BLASTS:_ | |||
:MYELOS:_ | |||
:METAS:_ | |||
:NRBCS/100WBCS:_ | |||
:PLASMA CELLS:_ | |||
|} | |||
MORPHOLOGY: | |||
*Red Blood Cells: No significant abnormality. | |||
*White Blood Cells: No significant abnormality. | |||
*Platelets: No significant abnormality. | |||
BONE MARROW ASPIRATE: | |||
:Left / RIGHT / UNDESIGNATED SITE | |||
CELLULARITY ESTIMATE: Adequate. / Hypocellular and hemodilute. / Hypercellular. / | |||
Too few cells for morphologic evaluation. | |||
MARROW DIFFERENTIAL | |||
*Erythroblasts: __% | |||
*Blasts: __% | |||
*Neutrophils/precursors: __% | |||
*Eosinophils: __% | |||
*Basophils: __% | |||
*Lymphocytes: __% | |||
*Monocytes: __% | |||
*Plasma Cells: __% | |||
*M:E ratio: __:__ | |||
ERYTHROPOIESIS: Maturing. | |||
GRANULOPOIESIS: Maturing. | |||
MEGAKARYOCYTES: Present. | |||
LYMPHOCYTES: Mature. | |||
PLASMA CELLS: Rare without atypia. | |||
BONE MARROW TOUCH PREPARATION: | |||
_ | |||
BONE MARROW BIOPSY: | |||
:Left / RIGHT / UNDESIGNATED SITE | |||
SPECIMEN ADEQUACY: | |||
:Satisfactory. / Limited. / Unsatisfactory. | |||
CELLULARITY:_ | |||
:_%: Normocellular / Hypercellular / Hypocellular for age. / Variable ( _ %- _ %, overall _ %) / Cannot assess cellularity due to small biopsy. {{Finding-begin}}With aspirative artifact.{{Finding-end}} | |||
Decalcified bone marrow biopsy demonstrates ____________________ | |||
BM Erythropoiesis | |||
_ | |||
BM Cellularity | |||
_ | |||
BM Megakaryocytes | |||
_ | |||
BM Myelopoiesis | |||
_ | |||
BONE MARROW IRON STAIN: | |||
Storage iron _/4 on aspirate smear with / without ring sideroblasts. | |||
SPECIAL STAINS: | |||
:Reticulin Stain: ___ reticulin fibrosis (_+/3+) | |||
FLOW CYTOMETRY: | |||
:No immunophenotypic evidence for abnormal myeloid maturation, an increase in blasts, or a lymphoproliferative disorder (see attached report). | |||
COMMENT: | |||
:{{Finding-begin}}Cytogenetic study and next generation sequencing panel for myeloid neoplasm are pending.{{Finding-end}} | |||
:All stains have functional controls. | |||
|} | |||
<noinclude> | |||
==See also== | ==See also== | ||
*[[Flow cytometry]] | *[[Flow cytometry]] | ||
{{Bottom}} | {{Bottom}} | ||
</noinclude> | |||