Bone marrow: Difference between revisions

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| '''Bone marrow''' from rib (or other location if applicable): Trilineage hematopoiesis.  There is no evidence of malignancy.
| '''Bone marrow''' from rib (or other location if applicable): Trilineage hematopoiesis.  There is no evidence of malignancy.
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==Bone marrow biopsy==
Evaluate the following:
*'''Adequacy''': There should preferably be 5 intertrabecular spaces.
*'''Cellularity''': The percentage should be 100 minus age, such as 40% in a 60 year old patient.
*'''Thrombopoiesis''': There are normally about 3 megakaryocytes per 40x field.
*'''Myeloid/erythroid ratio''', normally 3-4 myeloid cells per erythroid cell.
*Look for any '''granuloma''' or '''cancer metastasis'''


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Revision as of 14:29, 3 November 2021

Author: Mikael Häggström [note 1]

File:Trilineage hematopoiesis, annotated.jpg
Bone marrow aspirate showing normal "trilineage hematopoiesis":
- Myelomonocytic cells: an eosinophil myelocyte marked
- Erythroid cells: an orthochromatic erythroblast marked
- Megakaryocytic cells.

Autopsy

Microscopic evaluation

  • Confirm trilineage hematopoiesis (see image).
  • Look for apparent cellular atypia or decrease of cellular diversity.

Report

Example in a normal case:

Bone marrow from rib (or other location if applicable): Trilineage hematopoiesis. There is no evidence of malignancy.

Bone marrow biopsy

Evaluate the following:

  • Adequacy: There should preferably be 5 intertrabecular spaces.
  • Cellularity: The percentage should be 100 minus age, such as 40% in a 60 year old patient.
  • Thrombopoiesis: There are normally about 3 megakaryocytes per 40x field.
  • Myeloid/erythroid ratio, normally 3-4 myeloid cells per erythroid cell.
  • Look for any granuloma or cancer metastasis

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References


Image sources