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Bone Marrow Morphology-Complete Studies

CPT Vary; determined after stains selected and testing performed.
Synonyms Bone Marrow Analysis

Test Details

Cancer Type

Acute lymphocytic leukemia (ALL), Acute myelocytic leukemia (AML), Chronic lymphocytic leukemia (CLL), Chronic myelogenous leukemia (CML), Hematologic malignancies, Leukemia, Lymphoma, Myeloma, Myelodysplastic syndrome (MDS), Myeloproliferative neoplasm (MPN)

Technology Used

FLOW

Turnaround Time

2-3 days

Use

Morphological evaluation of bone marrow is part of the diagnostic workup for suspected hematologic pathology

Special Instructions

Must include clinical/laboratory information, clinical hematological diagnosis, and a recent CBC report.

Test Includes

Includes histologic and cytologic preparation, staining and interpretation of bone marrow smears, biopsies, clot and peripheral blood smears for morphological evaluation, including gross and microscopic examination, decalcification procedure and special stains.

Methodology

Histology, morphology, pathology review

Specimen Requirements

Information on collection, storage, and volume

Specimen

Bone marrow aspirate clot and/or biopsy, bone marrow aspirate smears, and whole blood smears

Volume

2-5 mL, at least 1 cm core of bone marrow (complete specimen), bilateral if for staging of lymphoma

Storage Instructions

Bone marrow core biopsy, clot and/or particles: Store ambient and ship with a cool pack. Bone marrow aspirate smears and/or touch preparations: Store refrigerated and ship with a cool pack.

Causes for Rejection

No marrow obtained

Collection

Smeared slides are prepared and labeled at the bedside by a laboratory technologist. Biopsy and clot are placed in fixative by technologist. Bone marrow smears for enzyme histochemistry must be fixed immediately in 10% neutral buffered formalin, absolute methyl alcohol, or 40% formalin vapor. Fixative container must be labeled with patient's full name, room number, date, and time and the fixative employed.