Comparison between 1-needle technique versus 2-needle technique for bone marrow aspiration and biopsy procedures.

Abstract:

CONTEXT:Bone marrow examination is essential for diagnosis and staging of hematologic disorders. Traditionally, the bone marrow biopsy and aspirate are obtained with 2 needles at 2 separate sites. This approach is associated with significant discomfort, procedural time, and occasionally, morbidity. Although previous observations had suggested that a single-needle technique at one site is a simpler and less-painful procedure, there had been concern that the 1-needle technique may yield a suboptimal biopsy for diagnosis. OBJECTIVE:To conduct a systematic comparison of multiple parameters of bone marrow biopsy specimens obtained by the traditional 2-needle technique versus the 1-needle technique for bone marrow collection. DESIGN:We retrospectively evaluated 20 biopsy specimens obtained by each of the 2 mentioned techniques by comparing the morphologic quality of the biopsy, biopsy length, and biopsy cellularity. RESULTS:We found that the 1-needle technique yielded an adequate biopsy for diagnosis. The measured parameters of the samples obtained by the 1-needle versus 2-needle techniques were similar. CONCLUSION:This study suggests that the 1-needle technique may be preferred for bone marrow aspirate and biopsy.

journal_name

Arch Pathol Lab Med

authors

Al-Ibraheemi A,Pham T,Chen L,Syklawer E,Quesada A,Wahed A,Nedelcu E,Nguyen AN

doi

10.5858/arpa.2012-0046-OA

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

974-8

issue

7

eissn

0003-9985

issn

1543-2165

journal_volume

137

pub_type

杂志文章
  • Cytokeratin-positive, CD45-negative primary centroblastic lymphoma of the adrenal gland: a potential for a diagnostic pitfall.

    abstract::We report a case of cytokeratin-positive, CD45-negative primary polymorphic centroblastic lymphoma of the adrenal gland. Additional immunostaining, which demonstrated positivity for CD20 and kappa light chain, as well as detection of the monoclonal rearrangement of the immunoglobulin heavy chain gene, helped to establ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2001)125<1104:CPCNPC>2.0.CO;2

    authors: Donner LR,Mott FE,Tafur I

    更新日期:2001-08-01 00:00:00

  • IgD amyloid in IgD-lambda monoclonal conjunctival amyloidosis. A case report.

    abstract::Localized aggregates of amyloid and chronic inflammatory cells are well known to occur in conjunctiva and usually are not associated with systemic disease. This study reports one such case in a healthy young man. In this lesion, the plasma cell infiltrate was shown by immunofluorescence to contain IgD lambda. The amyl...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Schaldenbrand JD,Keren DF

    更新日期:1983-12-01 00:00:00

  • Experimental Staphylococcus epidermidis endocarditis in rabbit model.

    abstract::To study the natural course of catheter-induced endocarditis secondarily infected with Staphylococcus epidermidis, 29 rabbits had catheters introduced surgically through the carotid artery to the aortic valve. Forty-eight hours later the catheters were removed from five rabbits. The rabbits were inoculated intravenous...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Shamsuddin D,Tuazon CU,Miller H,Shamsuddin AK,Friedman D

    更新日期:1983-03-01 00:00:00

  • Adult Fanconi syndrome in kappa light chain myeloma.

    abstract::Distinctive morphological features in both the marrow infiltrate and the kidney were seen in a 52-year-old woman with kappa light chain-producing plasma cell myeloma, diagnosed on the basis of multiple osteolytic lesions, the presence of atypical plasma cells in the bone marrow, and monoclonal immunoglobulin productio...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Chan KW,Ho FC,Chan MK

    更新日期:1987-02-01 00:00:00

  • Ectopic beta-human chorionic gonadotropin production by bladder urothelial neoplasia.

    abstract::Endocrine manifestations are rarely observed in bladder urothelial neoplasia. To our knowledge, only 11 cases of choriocarcinoma have been reported in this site, and recently the production of beta-human chorionic gonadotropin has been demonstrated in these tumors by applying the immunoperoxidase technique. Of 104 tra...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Shah VM,Newman J,Crocker J,Chapple CR,Collard MJ,O'Brien JM,Considine J

    更新日期:1986-02-01 00:00:00

  • Limiting the use of atypical/inconclusive as a category in nongynecologic cytology specimens.

    abstract:CONTEXT:'Atypical' has served as a descriptive term in cytology since the birth of the specialty by Dr Papanicolaou. This indeterminate diagnosis often results in repeat biopsies or additional tissue sampling and a needless delay in patient care if used inappropriately. Because of the definitional ambiguity of this ter...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/2009-0357-OA.1

    authors: Koen TM,Mody DR,Scheiber-Pacht M,Fairley T,Thrall MJ

    更新日期:2010-07-01 00:00:00

  • Life-long learning and self-assessment.

    abstract::New Frontiers in Pathology is a unique educational event intended to meet the ongoing educational needs of practicing pathologists. Continuous medical education (CME) is required for maintenance of licensure by virtually all state licensing bodies. Satisfying CME requirements hinges on earning a minimum number of Amer...

    journal_title:Archives of pathology & laboratory medicine

    pub_type:

    doi:10.5858/arpa.2012-0234-ED

    authors: Myers JL,Greenson JK

    更新日期:2012-08-01 00:00:00

  • Interinstitutional whole slide imaging teleconsultation service development: assessment using internal training and clinical consultation cases.

    abstract:CONTEXT:Assessment of accuracy and feasibility of whole slide imaging (WSI) for interinstitutional consultation in surgical pathology. OBJECTIVES:To train technical and pathologist staff in WSI technology, establish and evaluate a WSI workflow using training cases and second-opinion consultations, and assess diagnosti...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2014-0133-OA

    authors: Jones NC,Nazarian RM,Duncan LM,Kamionek M,Lauwers GY,Tambouret RH,Wu CL,Nielsen GP,Brachtel EF,Mark EJ,Sadow PM,Grabbe JP,Wilbur DC

    更新日期:2015-05-01 00:00:00

  • Selective myocardial cell necrosis in nonhuman primates.

    abstract::A retrospective study was performed to describe the histologic stages of selective myocardial cell necrosis (SMCN) in nonhuman primates, and to compare the incidence of SMCN in two groups of nonhuman primates. Myocardial tissues taken at the time of autopsy from 50 primates at an experimental center were compared with...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Cowan MJ,Giddens WE Jr,Reichenbach DD

    更新日期:1983-01-01 00:00:00

  • Endocrine manifestations of von Hippel-Lindau disease.

    abstract::von Hippel-Lindau (VHL) disease is an autosomal dominant disorder caused by heterozygous mutations in the VHL tumor suppressor gene that is characterized by the occurrence of multiple endocrine and nonendocrine lesions. This review focuses on the endocrine manifestations of VHL disease. Pancreatic neuroendocrine proli...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2013-0520-RS

    authors: Cassol C,Mete O

    更新日期:2015-02-01 00:00:00

  • Evaluation of the BiliChek being used on hyperbilirubinemic newborns undergoing home phototherapy.

    abstract:CONTEXT:Newborns are often screened prior to discharge for hyperbilirubinemia. Transcutaneous bilirubin analyzers, such as the BiliChek, are promoted as screening tools, but it is unclear whether they also function well as monitoring devices. Newborns on home phototherapy require frequent determinations of serum biliru...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2008)132[684:EOTBBU]2.0.CO;2

    authors: Reyes CA,Stednitz DR,Hahn C,Mutchie KD,McCullough SR,Kronberg K

    更新日期:2008-04-01 00:00:00

  • Validation of a Cytotechnologist Manual Counting Service for the Ki67 Index in Neuroendocrine Tumors of the Pancreas and Gastrointestinal Tract.

    abstract:CONTEXT:- Pathologists routinely assess Ki67 immunohistochemistry to grade gastrointestinal and pancreatic neuroendocrine tumors. Unfortunately, manual counts of the Ki67 index are very time consuming and eyeball estimation has been criticized as unreliable. Manual Ki67 counts performed by cytotechnologists could poten...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2017-0203-OA

    authors: Cottenden J,Filter ER,Cottreau J,Moore D,Bullock M,Huang WY,Arnason T

    更新日期:2018-03-01 00:00:00

  • Benign hepatocellular tumors in the young. A clinicopathologic spectrum.

    abstract::Hepatic tumors unassociated with cirrhosis were encountered in seven patients aged 10 to 19 years. Four patients had received androgens for aplastic anemia. Two patients had transfusional hemosiderosis. One patient had had a renal transplant 2 1/2 years ago. Two patients are alive at 2 3/4 and 2 1/2 years after surgic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Chandra RS,Kapur SP,Kelleher J Jr,Luban N,Patterson K

    更新日期:1984-02-01 00:00:00

  • Calibration of hematology analyzers. Role of the microhematocrit.

    abstract::Discrepancies between the hematocrit values measured by automated methods and those measured by centrifugation have discouraged the use of the centrifuged microhematocrit to calibrate automated hematology analyzers. The discrepancy appears to be due to changes in the internal viscosity of red blood cells and can be el...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Crawford JM,Lau YR,Bull B

    更新日期:1987-04-01 00:00:00

  • Redesigned proficiency testing materials improve survey outcomes for prostate-specific antigen. A College of American Pathologists Ligand Assay Survey tool.

    abstract:CONTEXT:Large disparities in prostate-specific antigen (PSA) results from different assays have been observed in the College of American Pathologists (CAP) Ligand Assay Survey, with interassay results varying severalfold. Survey specimens are predominately composed of free PSA and do not reflect the composition of typi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2000)124<1608:RPTMIS>2.0.CO;2

    authors: Sokoll LJ,Witte DL,Klee GG,Chan DW

    更新日期:2000-11-01 00:00:00

  • Immunohistochemistry in undifferentiated neoplasm/tumor of uncertain origin.

    abstract:CONTEXT:Immunohistochemistry has become an indispensable ancillary study in the identification and classification of undifferentiated neoplasms/tumors of uncertain origin. The diagnostic accuracy has significantly improved because of the continuous discoveries of tissue-specific biomarkers and the development of effect...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2014-0061-RA

    authors: Lin F,Liu H

    更新日期:2014-12-01 00:00:00

  • Small lymphocytic lymphoma involving an enlarging complex renal cyst.

    abstract::A 47-year-old white man presented for evaluation of a complex right renal mass. He had a history of human immunodeficiency virus. Cervical lymph node biopsy had revealed small lymphocytic lymphoma. Computed tomographic scan disclosed diffuse mesenteric and retroperitoneal adenopathy consistent with chronic lymphocytic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2005)129<111:SLLIAE>2.0.CO;2

    authors: Iczkowski KA,Gapin TB,Wajsman Z

    更新日期:2005-01-01 00:00:00

  • Real-time molecular epidemiologic analysis of an outbreak of Streptococcus pyogenes invasive disease in US Air Force trainees.

    abstract:OBJECTIVE:To determine if molecular epidemiologic techniques, including comparative automated DNA sequencing of polymorphic virulence genes, could be used in the course of a bacterial disease outbreak to unambiguously determine clonal relationships among implicated strains. DESIGN:Strains recovered from all patients w...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Musser JM,Kapur V,Peters JE,Hendrix CW,Drehner D,Gackstetter GD,Skalka DR,Fort PL,Maffei JT,Li LL

    更新日期:1994-02-01 00:00:00

  • Cytologic features of squamous cell carcinoma in ThinPrep slides: evaluation of cases that performed poorly versus those that performed well in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology.

    abstract:CONTEXT:Although the cytologic features of squamous cell carcinoma in ThinPrep specimens are well known, whether these features are different in cases that are easily identified than in cases that are more difficult to identify is not known. OBJECTIVE:To determine the cytologic features of squamous cell carcinoma in T...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2004)128<403:CFOSCC>2.0.CO;2

    authors: Renshaw AA,Dubray-Benstein B,Cobb CJ,Lozano RL,Neal MH,Prey M,Schulte MA,Gynecologic Cytology Committee, College of American Pathologists.

    更新日期:2004-04-01 00:00:00

  • Prevalence of myocarditis at autopsy in Turin, Italy.

    abstract:OBJECTIVE:To evaluate the prevalence of myocarditis in a general hospital in Turin, Italy. DESIGN:We retrospectively reviewed 17162 postmortem records from autopsies routinely performed at San Giovanni Battista General Hospital, Turin, between 1965 and 1994. RESULTS:Applying the so-called Dallas criteria, myocarditis...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Passarino G,Burlo P,Ciccone G,Comino A,Cravello M,Iannicelli P,Mollo F

    更新日期:1997-06-01 00:00:00

  • Latent membrane protein 1, tumor necrosis factor receptor-associated factor (TRAF) 1, TRAF-2, TRAF-3, and nuclear factor kappa B expression in posttransplantation lymphoproliferative disorders.

    abstract:CONTEXT:Most posttransplantation lymphoproliferative disorders (PTLDs) are associated with Epstein-Barr virus (EBV) infection. The EBV latent membrane protein 1 (LMP-1) is important in the transformation of B lymphocytes through its interaction with intracellular tumor necrosis factor receptor-associated factors (TRAFs...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2003)127<1335:LMPTNF>2.0.CO;2

    authors: Ramalingam P,Chu WS,Tubbs R,Rybicki L,Pettay J,Hsi ED

    更新日期:2003-10-01 00:00:00

  • Heterogeneity of epithelial marker expression in routinely processed, poorly differentiated carcinomas.

    abstract::The application of immunohistochemical markers against epithelial antigens has proved useful for studying tumor differentiation and in aiding tumor diagnosis. However, the reactivity of various epithelial markers with poorly differentiated carcinomas (the situation in which they are most often used) has not been well ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Kamel OW,Rouse RV,Warnke RA

    更新日期:1991-06-01 00:00:00

  • Reversibility of myocyte injury in moderate and severe acute rejection in cyclosporine-treated cardiac transplant patients.

    abstract::Myocyte injury in acute cardiac transplant rejection was studied ultrastructurally in 45 patients. Mild myocyte injury consisted of increased glycogen granules and mitochondria, and condensation and streaming of myofilaments. More severe cell injury was characterized by clumping of Z-band material at the periphery of ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Myles JL,Ratliff NB,McMahon JT,Golding LR,Hobbs RE,Rincon G,Sterba RW,Stewart R

    更新日期:1987-10-01 00:00:00

  • Overlap index. An alternative to sensitivity and specificity in comparing the Utility of a laboratory test.

    abstract::The utility of a laboratory test for differential diagnosis depends on the degree that test results for different disease states overlap. I developed a new overlap index that ranges from zero, for an ideal test with no overlap, to one if the median test result is the same for the two disease states. The index does not...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Hartz AJ

    更新日期:1984-01-01 00:00:00

  • Misdiagnosis of high-grade vulvar intraepithelial neoplasia (VIN III) as mild cervical intraepithelial neoplasia (CIN I) on Papanicolaou tests.

    abstract:CONTEXT:Although high-grade vulvar intraepithelial neoplasia (VIN III) is a clinically significant lesion, it can be overlooked because of nonspecific clinical findings and the fact that its cytomorphologic features mimic those of mild cervical intraepithelial neoplasia (CIN I). OBJECTIVE:To determine if there are cyt...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2003)127<68:MOHGVI>2.0.CO;2

    authors: August CZ,Ganji M,Froula E

    更新日期:2003-01-01 00:00:00

  • Xanthomatous bronchiolitis obliterans with cholesterol pneumonia.

    abstract::Reported is an instance of bronchiolitis obliterans due to the accumulation of lipid-laden cells within bronchiolar walls and lumina. The bronchiolar lining had extensive squamous and goblet cell metaplasia with focal ulceration. Scattered foci of cholesterol pneumonia, composed of acicular crystals with an associated...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Heffelfinger SC,Weilbaecher DG,Lawrence EC,Johnson EH,Greenberg SD

    更新日期:1988-06-01 00:00:00

  • Cardiac presentation of non-Hodgkin's lymphoma.

    abstract::We present a case of non-Hodgkin's lymphoma with massive cardiac involvement in a previously well 65-year-old man, presenting with pericardial tamponade and heart failure of recent onset. Results of echocardiography and of pericardial and pleural fluid cytology suggested the diagnosis. Within two weeks the patient's c...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Cairns P,Butany J,Fulop J,Rakowski H,Hassaram S

    更新日期:1987-01-01 00:00:00

  • Trends in Cervical Cytology Screening and Reporting Practices: Results From the College of American Pathologists 2011 PAP Education Supplemental Questionnaire.

    abstract:CONTEXT:The College of American Pathologists periodically surveys laboratories to determine changes in cytopathology practices. We report the results of a 2011 gynecologic cytology survey. OBJECTIVE:To provide a cross-sectional survey of gynecologic cytology practices in 2010. DESIGN:In 2011, a survey was sent to 160...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2015-0004-CP

    authors: Crothers BA,Darragh TM,Tambouret RH,Nayar R,Barkan GA,Zhao C,Booth CN,Padmanabhan V,Tabatabai ZL,Souers RJ,Thomas N,Wilbur DC,Moriarty AT

    更新日期:2016-01-01 00:00:00

  • Sodium polystyrene sulfonate (kayexalate) aspiration: histologic appearance and infrared microspectrophotometric analysis of two cases.

    abstract:OBJECTIVE:Sodium polystyrene sulfonate (kayexalate) is a cation-exchange resin given enterally for the treatment of hyperkalemia. Aspiration of this material is a rare occurrence, but when visualized in the alveolus, it has a characteristic microscopic appearance that is virtually diagnostic. In two cases, recognition ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Fenton JJ,Johnson FB,Przygodzk RM,Kalasinsky VF,Al-Dayel F,Travis WD

    更新日期:1996-10-01 00:00:00

  • Cystic osteolysis induced by silicone rubber prosthesis.

    abstract::Synovitic symptoms and radiologically documented cystic lesions in several carpal bones and distal radius developed two years after the implantation of silicone rubber scaphoid prosthesis for pseudoarthrosis. Open biopsy revealed granulomatous synovitis and osteitis and foreign material in carpal tissues. Ultrastructu...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Ekfors TO,Aro H,Mäki J,Aho AJ

    更新日期:1984-03-01 00:00:00