Bone Marrow Biopsy Report

[RISAY]

Dear All,
Can you please help me out to understand this report as I am waiting for Whole Body CT Scan Report to Visit Doctor.
Report Look Like normal/good.

CLINICAL DETAILS: History of weight loss and bone pains. History of blood transfusion is positive. Diagnosed case of Diffuse Large B cell Lymphoma. Bone marrow was done for staging workup.

PERIPHERAL BLOOD COUNTS:
HB:8.8 G/DL
HCT:26.1%
MCV:79.3FL
MCH:26.7PG
WBC'S:10.26 x 10E9/L
ANC:7.48 x 10E9/L
PLATELETS:283x 10E9/L

BONE MARROW ASPIRATE: Cellular specimen showing trilineage haematopoiesis. Erythropoiesis is normoblastic. Myelopoiesis is active showing all stages of maturation and differentiation. Adequate megakaryocytes seen. M:E ratio is 4:1. Blast cells are less than 3%. Plasma cells are less than 2%. No non-haematopoietic clump or haemoparasites identified in the slide examined.

BONE TREPHINE TOUCH PREP: Cellular smear showing same features as those of bone marrow aspirate.

BONE TREPHINE (H&E) SECTION:Good length specimen showing intact architecture and cellularity for age. Overall cellularity is around 45 to 50%. Cellular areas show presence of erythroid and myeloid precursors. Adequate megakaryocytes noted. No granuloma or replacement/infiltration identified in the sections examined.


OPINION: No evidence of bone marrow involvement by lymphoma in the slides examined.

[RISAY]

Thank you so much.
In this case Chemo still necessary?

[RISAY]

Thank you so much.
In this case Chemo still necessary?

[summerluvr]

your marrow shows what it should, evidence of the normal formation of all types of blood cells, and levels of each are in the normal ranges.

[Ken_PA]

Yes, the marrow looks good. The lymphoma has not invaded the marrow -- so your anemia is apparently due to loss or destruction of RBCs instead.

Good luck.