Bone marrow biopsy pathology in combination with bone marrow smear and peripheral blood smear in diagnosis of stubborn hematonosis
10.3760/cma.j.issn.1008-6315.2013.07.002
- VernacularTitle:骨髓活检病理学结合骨髓涂片和外周血涂片诊断疑难血液病
- Author:
Meihua JI
;
Jian TAO
;
Qichang YANG
;
Zhongjian HU
- Publication Type:Journal Article
- Keywords:
Peripheral blood smear;
Bone marrow smear;
Bone marrow biopsy;
Stubborn hematonosis
- From:
Clinical Medicine of China
2013;(7):676-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnostic significance of synchronous observation on bone marrow biopsy,bone marrow smear and peripheral blood smear in stubborn hematonosis.Methods Thirty-seven patients with difficult and complicated hematologic diseases were detected by peripheral blood smear,bone marrow smear and bone marrow biopsy.Those slides and smears were observed.Results The 37 cases with blood disease was diagnosed of aplastic anemia in 3 cases,5 cases of myelodysplastic syndrome,6 cases of primary myelofibrosis,13 cases of secondary myelofibrosis,7 cases of lymphoma with bone marrow infiltration and 3 cases of metastatic carcinoma of bone marrow.In the diagnosis of aplastic anemia,myelodysplastic syndrome,primary and secondary myelofibrosis,lymphoma and metastatic carcinoma of bone marrow diagnosis,bone marrow biopsy is superior to smear.Conclusion Bone marrow biopsy,bone marrow smear and peripheral blood smear synchronous observation can effectively increase the diagnostic rate,decrease misdiagnosis rate,and correctly identify the stage of the disease.
