Thanks for your response. The detailed bone marrow
Aspiration and Biopsy report is enclosed.
BONE MARROW ASPIRATION AND BIOPSY REPORT
Clinical Information: ? Non Hodgkin's lymphoma.
Previous bone marrow report, if any : Nil.
Peripheral smear: Relative lymphocytosis
with 15% atypical lymphocytes.
Material received: 2 BMA in EDTA + 5 unstained BMA slides + 1PB in EDTA
and bone marrow biopsy
Bone marrow aspiration : Smears prepared.
Bone marrow biopsy : (Dr. P Sirisha)
Received a single 0.5cm grey white bony core, entirely processed in one block.
Erythroid cells 31.0%, Myelocytes 2.0%, Metamyelocytes 9.0%,
Neutrophils 17.0%, Lymphocytes 33.0%, Eosinophils 2.0%,
Cellularity : Cellular marrow with trails.
: Normoblastic pattern of maturation. Megaloblasts also seen.
Leukopoiesis : Show cells in various stages of maturation.
Lymphocytes : Increased, seen in small clusters and sheets; ranging in size from small to large .
Plasma cells : Slightly increased (reactive).
Megakaryocytes : Adequate. Few hypolobated forms seen.
Other : No parasite/ granuloma seen.
Bone marrow biopsy :
Marrow shows mild hypocellularity with relative increase in atypical lymphoid cells.
Crush artifact also seen.
Shows involvement by lymphoma.
Would like to know your views on this and whether the treatment suggested by our current oncologist
is in line.
Thanks and regards,