TREPHINE BONE MARROW BIOPSY (REPORTING AND PROCEDURE)
Test Name
TREPHINE BONE MARROW BIOPSY (REPORTING AND PROCEDURE)
Aliases
BM BIOPSY REPORTING AND PROCEDURE
Abbreviations
BMB
Test Classification
INDIVIDUAL
Department
HEMATOLOGY
Sub Department
GENERAL
TAT Category
ELAPSED (CONTINUOUS) TIME
Estimated TAT
7
TAT Units
DAYS
Test Requirements
1) Liaise with lab team for booking of direct clients
2) Name & contact details of the referring doctor must be available
3) Previous patient records & test results, imaging inclusive to be availed
4) Recent CBC, <=72 hours old needed (concurrent CBC can be obtained at time of the procedure; PBF examination will still be required unless recently performed at Scanlab).
5) Collect a concurrent serum sample since other tests are frequently required.
6) For <12-14 year olds, anaesthesia is required at additional cost (for young children, may have to be done as an inpatient procedure)
For guidance on preparation of peripheral blood films, review this YouTube video: https://www.youtube.com/watch?v=kafqQZmrgQE
For guidance on preparation of bone marrow aspirate films, review this YouTube video: https://www.youtube.com/watch?v=t_yOm3jaCCI
For guidance on packaging of slides for transportation, review this YouTube video: https://www.youtube.com/watch?v=u-Vy80b_-sI&t=2s
For guidance on how to prepare 10% neutral buffered formalin, see this video: https://www.youtube.com/watch?v=Vr2y4-fAOs4
Clinical Utility
Variable e.g. assess unexplained cytopenias (anemia, leukopenia, thrombocytopenia), unexplained cytoses (polycythemia, leukocytosis, thrombocytosis), suspected malignancy or infiltration (leukemia, lymphoma, myeloproliferative neoplasms, metastatic disease), pyrexia of unknown origin, infectious diseases (e.g. leishmaniasis), B symptoms (unintentional weight loss, drenching night sweats, fever) etc.