Objective: To determine the usefulness of bone marrow aspiration
and trephine biopsy in evaluation of the bone marrow in routine haematological practice.
(11) Bone marrow aspiration
and trephine biopsy specimens are of additive value when assessing marrow disorders, and for this reason, most physicians obtain both in a single procedure.
Methodology: Complete blood counts, bone marrow aspiration
and trephine biopsies were performed according to standard methods.
Boone marrow aspiration
and biopsy revealed normocellular marrow with no evidence of involvement.
Both patients underwent bone marrow aspiration
due to peripheral blood pancytopenia and organomegaly.
Hypnosis was compared with nonhypnotic behavioral techniques for efficacy in reducing pain and anxiety in 27 children and adolescents during bone marrow aspiration
and in 22 children and adolescents during lumbar puncture.
Bone marrow aspiration
(Figure 1) and biopsy were performed because of refractory thrombocytopenia and the presence of young blood cells on the peripheral blood smears.
In the new procedure, a surgeon uses a CELLECT bone marrow aspiration
needle to extract bone marrow through a tiny incision.
(3,4) After a tissue diagnosis has been made, the patient should undergo a full metastatic work-up, including a chest x-ray, CT of the lungs, a bone scan, and bone marrow aspiration
to ascertain whether the tumor has metastasized.
You decide to send the child to the hematologist for a bone marrow aspirate, but your biggest quandary is trying to explain to the nursing mother of this robust, healthy-looking infant why her infant must see a subspecialist for a bone marrow aspiration
and further evaluation.