Principles of Pathomorphological Differential Diagnosis of Myelodysplastic Syndromes
DOI:
https://doi.org/10.21320/2500-2139-2015-8-1-62-68The article dwells on the diagnosis of myelodysplastic syndromes (MDS) in bone marrow trephine biopsies. The paper describes problems of a complex approach to differential diagnostics of MDS and non-clonal/reactive changes in hematopoiesis. It is emphasized that clinical and laboratory data, as well as data on patient’s medical history should be submitted to a pathologist. The authors substantiate the algorithm for the morphological investigation of a bone marrow trephine bioptate, including evaluation of cellularity, stromal patterns, and morphological signs of dysplasia. The diagnostic value of histochemistry and immunohistochemistry is discussed.
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Keywords:
myelodysplastic syndrome, bone marrow trephine biopsy, pathomorphology, differential diagnostics
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