Reactive versus neoplastic bone marrow: problems and pitfalls.

Abstract:

:Examination of the bone marrow poses several unique challenges to the pathologist: it is a semisolid organ without helpful gross correlation, it exists in a dynamic state with the peripheral blood and other organs of the lymphohemopoietic system, and the diagnosis of diseases affecting bone marrow often depends heavily on ancillary special studies. The bone marrow examination ideally encompasses review of the bone marrow biopsy histology (with or without additional nondecalcified clot preparation material), bone marrow aspirate smear cytology, and the peripheral blood smear; optimal procurement and processing of these samples is critical in ensuring that a maximal level of diagnostic information can be extracted. The pathologist must be aware of the clinical context of the bone marrow and the results of ancillary tests, whether these are ordered by the pathologist or the clinician. A combination of excellent diagnostic samples, appropriate ancillary tests, and knowledge of the clinical context provides the best background to distinguish between the common reactive and neoplastic processes that involve the bone marrow and to avoid diagnostic pitfalls in making these distinctions.

journal_name

Arch Pathol Lab Med

authors

Hasserjian RP

doi

10.1043/1543-2165(2008)132[587:RVNBMP]2.0.CO;2

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

587-94

issue

4

eissn

0003-9985

issn

1543-2165

pii

2007-0546-RAR

journal_volume

132

pub_type

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