Procedural Considerations for Bone Marrow Trephine Biopsy

Yu.A. Krivolapov,

DOI:

https://doi.org/10.21320/2500-2139-2014-7-3-290-295

The aim of the bone marrow trephine biopsy procedure is to obtain proper specimen for histological evaluation of hematopoietic tissue. The review provides information for indications and contraindications for the procedure. It also describes the procedure of trephine biopsy using a Jamshidi needle in detail and discusses procedural errors and potential complications.

  • Yu.A. Krivolapov I.I. Mechnikov North-Western State Medical University, Saint Petersburg, Russian Federation ; ГОУ ВПО «Северо-Западный государственный медицинский университет имени И.И. Мечникова», Санкт-Петербург, Российская Федерация
  1. Wilkins B.S. Pitfalls in bone marrow pathology: avoiding errors in bone marrow trephine biopsy diagnosis. J. Clin. Pathol. 2011; 64(5): 380–6. DOI: https://doi.org/10.1136/jcp.2010.080838
  2. Cotelingam J.D. Bone marrow biopsy: interpretive guidelines for the surgical pathologist. Adv. Anat. Pathol. 2003; 10(1): 8–26. DOI: https://doi.org/10.1097/00125480-200301000-00002
  3. Bain B.J. Bone marrow trephine biopsy. J. Clin. Pathol. 2001; 54(10): 737–42. DOI: https://doi.org/10.1136/jcp.54.10.737
  4. Schmid C., Isaacson P.G. Bone marrow trephine biopsy in lymphoproliferative disease. J. Clin. Pathol. 1992; 45(9): 745–50. DOI: https://doi.org/10.1136/jcp.45.9.745
  5. Wolf-Peeters de C. Bone marrow trephine interpretation: diagnostic utility and potential pitfalls. Histopathology 1991; 18(6): 489–93. DOI: https://doi.org/10.1111/j.1365-2559.1991.tb01474.x
  6. Frisch B., Bartl R., Burkhardt R. Bone marrow biopsy in clinical medicine: an overview. Haematologia (Budap.) 1982; 15(3): 245–85.
  7. Burkhardt R., Frisch B., Bartl R. Bone biopsy in haematological disorders. J. Clin. Pathol. 1982; 35(3): 257–84. DOI: https://doi.org/10.1136/jcp.35.3.257
  8. Bairey O., Shpilberg O. Is bone marrow biopsy obligatory in all patients with non-Hodgkin’s lymphoma? Acta Haematol. 2007; 118(1): 61–4. DOI: https://doi.org/10.1159/000102589
  9. Cavalieri E., Anselmo A.P., Gianfelici V. et al. Is bone marrow trephine biopsy always mandatory in staging Hodgkin’s disease? Haematologica 2005; 90(1): 134–6.
  10. Donald C.D., Ringenberg Q.S., Anderson. S.P. et al. Bone marrow biopsy in the initial staging of Hodgkin’s disease. Med. Pediatr. Oncol. 1989; 17(1): 1–5. DOI: https://doi.org/10.1002/mpo.2950170102
  11. Franco V., Tripodo C., Rizzo A. et al. Bone marrow biopsy in Hodgkin’s lymphoma. Eur. J. Haematol. 2004; 73(3): 149–55. DOI: https://doi.org/10.1111/j.1600-0609.2004.00292.x
  12. Hot A., Jaisson I., Girard C. et al. Yield of bone marrow examination in diagnosing the source of fever of unknown origin. Arch. Intern. Med. 2009; 169(21): 2018–23. DOI: https://doi.org/10.1001/archinternmed.2009.401
  13. Ito M. The diagnosis from the pathological viewpoint of a blood disease. Int. J. Hematol. 2002; 76(Suppl. 2): 2–5. DOI: https://doi.org/10.1007/BF03165076
  14. Manion E.M., Rosenthal N.S. Bone marrow biopsies in patients 85 years or older. Am. J. Clin. Pathol. 2008; 130(5): 832–5. DOI: https://doi.org/10.1309/AJCPXPPIF21LJJCZ
  15. Parapia L.A. Trepanning or trephines: a history of bone marrow biopsy. Br. J. Haematol. 2007; 139(1): 14–9. DOI: https://doi.org/10.1111/j.1365-2141.2007.06749.x
  16. Hernandez-Garcia M.T., Hernandez-Nieto L., Perez-Gonzalez E. et al. Bone marrow trephine biopsy: anterior superior iliac spine versus posterior superior iliac spine. Clin. Lab. Haematol. 1993; 15(1): 15–9. DOI: https://doi.org/10.1111/j.1365-2257.1993.tb00117.x
  17. Devalia V., Tudor G. Bone marrow examination in obese patients. Br. J. Haematol. 2004; 125(4): 538–9. DOI: https://doi.org/10.1111/j.1365-2141.2004.04936.x
  18. Reid M.M., Roald B. Bone marrow trephine biopsy in infants. Arch. Dis. Child. 1997; 77(1): 60–1. DOI: https://doi.org/10.1136/adc.77.1.60
  19. Douglas D.D., Risdall R.J. Bone marrow biopsy technic. Artifact induced by aspiration. Am. J. Clin. Pathol. 1984; 82(1): 92–4. DOI: https://doi.org/10.1093/ajcp/82.1.92
  20. Islam A.B. Bone marrow aspiration before bone marrow core biopsy using the same bone marrow biopsy needle: a good or bad practice? J. Clin. Pathol. 2007; 60: 212–5. 21. Bain B.J. Bone marrow biopsy morbidity and mortality. Br. J. Haematol. 2003; 121(6): 949–51. DOI: https://doi.org/10.1046/j.1365-2141.2003.04329.x

Downloads

Download data is not yet available.

For Contact

  • Yu.A. Krivolapov, DSci, Professor, I.I. Mechnikov North-Western State Medical University, Saint Petersburg, Russian Federation, ГОУ ВПО «Северо-Западный государственный медицинский университет имени И.И. Мечникова», Санкт-Петербург, Российская Федерация, e-mail: krivolapov.yuri@gmail.com

Published

01.07.2014

Issue

LYMPHOID MALIGNANCIES

How to Cite

Krivolapov Y.A. Procedural Considerations for Bone Marrow Trephine Biopsy. Clinical Oncohematology. Basic Research and Clinical Practice. 2014;7(3):290–295. doi:10.21320/2500-2139-2014-7-3-290-295.

Most read articles by the same author(s)