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What Does My Bone Marrow Biopsy Report Indicate?

Posted on Mon, 23 Oct 2017

Question: Hi Mr XXXXXXX

I am your old patient and i was very satisfied with your answers towards my query, However, i would like to render your service once again for my friends dad , i would like to send medical report of him i request you please advice me the treatment and consequences.

the person has done the bone marrow biopsy and results came as hypocellular bone marrow showing extensive clusters and psuedoglandular tumer cell.

I would like to send his full report to you in order to advice me the more accurate.

Answered by Dr. Prof. Kunal Saha (3 hours later)

Brief Answer:
Could be myelodysplastic syndrome

Detailed Answer:
Thanks for asking once again.

I would definitely like to help you out in the context of your friend's dad. Possibly you are talking of myelodysplastic syndrome. I would be able to comment definitively once you upload the reports. You can upload the attachments using the facility on the upper right of this page. Alternatively you can email the attachments to YYYY@YYYY with the query id 348823 and my name mentioned in the subject.

I would await your response.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (10 hours later)

Dr XXXXXXX As advised i have sent all reports to above mentioned email.

Expecting your valuable response at earliest .

Regards,
Parshanth

Answered by Dr. Prof. Kunal Saha (3 hours later)

Brief Answer:
Prostate cancer seems to have metastasized to bone marrow

Detailed Answer:
Thanks for writing back. I have checked the attached reports. The suspicion is favor of a metastatic cancer. In other words, it needs to be correlated about the possible primary tumor from where metastasis (distant spread) could have affected the bone marrow, thus bringing down its capacity to produce cells. The suspicion is also backed by the fact that the beta 2 microglobulin, creatinine and BUN levels are raised which could indicate an increased cellular turnover somewhere in the body. The fact that the PSA level is raised indicates the possibility that he is suffering from prostate cancer (primary tumor that I was talking about). However, it needs clinical correlation. Inflammation is the body (related) is indicated by the raised Ferritin level. There is also some iron deficiency anemia associated.

Let me know if I could help further

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Prof. Kunal Saha (39 minutes later)

Hi docter,
Thanks for your response, it's really bit difficult to understand the medical terminology. However I would like to know was the situation is critical? What is the treatment options are available?

What you would suggest to move farward with the treatment? Will treatment can help ?

Would you please advise me on my queries.

Regards
Prashanth

Answered by Dr. Prof. Kunal Saha (31 minutes later)

Brief Answer:
An urological opinion is needed

Detailed Answer:
Thanks for writing back. I have tried to elucidate as far as possible. The first information I need is whether he has been screened from prostate cancer? It would be advisable to visit an urologist and ask him to correlate. Depending on his findings further referral might be needed. Please upload the prescription of the urologist (after consultation) and I would guide you accordingly.

It would also help if you could upload the medical notes/prescriptions of the doctor who had advised the investigations (of which you have uploaded the reports).

Regards

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Above answer was peer-reviewed by : Dr. Kampana