bone marrow.docx

**[BONE MARROW ASPIRETION]**   **[Nature of Specimen]** : Clinical diagnosis -? lymph proliferative disorder. **[Peripheral smear]**                    RBCs - Normocytic normochromic.                WBCs --Lympholeucocytosis with predominance of mature                              lymphocytes a...

**[BONE MARROW ASPIRETION]**   **[Nature of Specimen]** : Clinical diagnosis -? lymph proliferative disorder. **[Peripheral smear]**                    RBCs - Normocytic normochromic.                WBCs --Lympholeucocytosis with predominance of mature                              lymphocytes and presence of smudge cells.                Platelets - Adequate  **[BONE MARROW ASPIRATION] **                  Under aseptic precautions and local amaestheria bone marrow aspiration was done, but the aspiration was dry fop. However imprint smears were prepared, they reveal Celularity - Hypercelular  M:E ration - 1.5:1 Erythorid series : Normal in number and maturation Myeloid series : Suppressed in number with adequate maturation. Megakaryocytes - adequate with preserved morphology Lymphocytes - Increased seen in the form of sheets Plasma cells : Within normal limits. Myelogram :              Promyelocytes -1              Myelocytes - 6               Metamyelocytes - 4               Neutrophils + Bandforms -14               Plasma cells - 2                Lymphocytes -49               Eosinophils -3         No evidence of haemoparasites/granuloma.                                                                                                                                         **[Impression]** : Features are suggestive of LYMPHOPROLIFERATIVE DISORDER Kindly await for inephire biopsy report.