Manual of Bone Marrow Examination
by
Book Cover & Preview Text
The purpose of this manual is to present a systematic approach to the methods of procurement and examination of bone marrow (aspiration and trephine biopsy) samples which play a crucial role in the diagnosis and management of various hematological as well as non-hematological conditions. The manual is designed for medical students, house officers, physicians and other health professionals with an interest in hematology and oncology. It can also be used as a readily available, contemporary reference source for technologists and nurses who are involved in assisting in bone marrow biopsy procurement and processing of marrow for cytological, immunological and histological examination. Although most practicing hematologists are familiar with bone marrow sampling techniques for diagnostic evaluation there is a growing body of information that merits review, critical analysis and consolidation in one working reference. The manual is organized into two major sections. The first is directed towards an appreciation of the merits, advantages, disadvantages and limitations of bone marrow aspiration biopsies. The selection of biopsy site(s) and the diagnostic value of the derived Romanowsky stained dry film smears are discussed. The second section of the text addresses the trephine or cylindrical solid core bone marrow biopsy. Particular attention is directed to the new and improved instrumentation that has been introduced into the field. In addition to comparing the core biopsy with the aspiration biopsy technique the particular advantages of the former procedure are evaluated in detail. Finally, considerable attention has been given to the step wise bedside technique of obtaining ideal bone marrow biopsy specimens and their processing. It is recognized that bone marrow biopsy is a specialized clinical procedure. It is associated with well recognized requirements as well as potential problems and pitfalls that are less well known. These considerations and their resolution from a clinical hematologist’s viewpoint are specifically included in this text.
Formats
Book Details
About the Book
Manual of Bone Marrow Examination was created to present a systematic approach to the methods of procurement and examination of bone marrow (aspiration and trephine biopsy) samples that play a crucial role in the diagnosis and management of various hematological as well as non-hematological conditions. The manual is designed for medical students, house officers, physicians, and other health professionals with an interest in hematology and oncology. Examinations of bone marrow are used commonly to diagnose and treat hematological and non-hematological conditions. Manual of Bone Marrow Examination systematically explains how to obtain and process bone marrow samples and outlines the methods employed to carry out this specialized clinical procedure safely and effectively. Both aspiration and trephine (core) biopsy techniques are described in detail with the relative merits and limitations of each highlighted. Dr. Islam discusses common problems and rare complications, offering practical advice on how they may be resolved. Finally, a step-by-step guide with illustrations demonstrates how to obtain aspirations and trephine (core) biopsy specimens at the bedside. • State-of-the-art review of aspiration and trephine (core) biopsy • Practical illustrated guide to technique and procedure • Recent developments and indications for the future Manual of Bone Marrow Examination will be of benefit to anyone involved in procuring and interpreting bone marrow specimens.
About the Author
Dr. Anwarul Islam was trained at the prestigious Royal Postgraduate Medical School, Hammersmith Hospital in London, England. While there, he earned a PhD from London University. Dr. Islam revolutionized the bone marrow biopsy procedure by inventing and patenting the first bone marrow biopsy needle with a core retention device. He is currently a clinical associate professor of medicine at the State University of New York–Buffalo and attending physician/hematology-oncology at Buffalo General and Kenmore Mercy Hospital.