The role of bone marrow biopsy examination at diagnosis of chronic lymphocytic leukemia: a reappraisal.

Abstract:

:According to the International Workshop on Chronic Lymphocytic Leukemia/National Institutes of Health (iwCLL/NIH) guidelines for the diagnosis and treatment of chronic lymphocytic leukemia (CLL), bone marrow biopsy (BMB) is not required at diagnosis, however recommended before initiating treatment. That notwithstanding, histopathological examination of the BMB has the potential to provide important information of both clinical and biological significance. Here we attempt a reappraisal of the role of BMB examination in the modern diagnostic work-up of patients with CLL, based on both the literature and our accumulated experience from the systematic and multiparametric evaluation of a large series of BMB samples taken at diagnosis of CLL. Overall, we argue that the study of BMB offers important information not only for diagnostic purposes but also for elucidating CLL pathobiology.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Baliakas P,Kanellis G,Stavroyianni N,Fameli M,Anagnostopoulos A,Stamatopoulos K,Papadaki T

doi

10.3109/10428194.2013.780653

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

2377-84

issue

11

eissn

1042-8194

issn

1029-2403

journal_volume

54

pub_type

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