Bone marrow: Difference between revisions

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Mikael Häggström (talk | contribs)
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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.
|}
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==See also==
==See also==
*[[Flow cytometry]]
*[[Flow cytometry]]
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