Assessment of hematological diseases by bone marrow examination in patients in Patna medical college and hospital
Dr. Preety Saha
Bone marrow aspiration (BMA) examination is one of the most frequent and relatively safe invasive procedures. Though an invasive procedure it can be easily performed even in the presence of thrombocytopenia with little or no risk of bleeding. .Biopsy of bone marrow is an adjunct to the study of haematological disorders which are quite frequent in all age groups. The spectrum of haematological disorders is relatively different in the developing world than the developed countries. Commonly it is done for the evaluation of unexplained cytopenias and malignant conditions like leukemia. Bone marrow examination is also at times done for the diagnosis or staging of a neoplasm and storage disorders. The present study was planned in the Department of Pathology, Patna Medical College and Hospital, Patna from April 2018 to sept 2018. Total 50 cases of the Haematological disorders were enrolled in the present study. Patients were explained about the procedure. In each case a detailed history along with systemic, general and local examination and routine haematological investigation was carried out prior to bone marrow examinations. Bone marrow examination is necessary to diagnose, prognosis, and/ or evaluate therapeutic response for a variety of hematologic and non-hematologic problems. The procedure remains a veritable tool in the diagnoses and management of a wide range of haematological and some non-haematological diseases. Bone marrow aspiration & bone marrow biopsy are diagnostic procedures used routinely nowadays, easy procedure does not require sophisticated equipment’s.