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Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 98-113

Evaluation the Role of Bone Marrow Examination in Diagnosis of Hematological Diseases in Hemato-Oncology Centers in Kurdistan

1 MBChB-MSc Hematology /Hiwa Teaching Hospital
2 MBChB- FICMS Hematology/Pathology Department; College of Medicine / Hawler Medical University
3 MBChB-MSc Hematology/ Erbil Teaching Hospital

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Background: Bone marrow aspiration and trephine biopsy have an important role in evaluation and diagnosis of most hematological and some non hematological disorders. Objectives: The aims of this study were to assess the value of bone marrow examination in diagnosis of hematological diseases and determination of frequency and causes of dry tap marrow . Patients and Methods: This study was prospective only and it was conducted from January 2013 to June 2013 at Hiwa and Nanakaly hospitals in Sulaymaniyah and Erbil respectively. A total number of 245 cases were underwent bone marrow examination. Touch imprint was prepared in a state of dry tap marrow. Sudan black stain was used in acute leukemia. Results: The patients comprised 138 (56.3%) males and 107 (43.7%) females, with ages ranging from 1 to 81 years and the mean age of cases was 36.7΁ 24 years. The most frequent clinical finding of patients underwent bone marrow examination were pallor (71.4%), followed by fever (32.2%). The main indications were present of blast cells in peripheral circulation 69 (28.2%), followed by bone marrow assessment for staging of lymphoma 37 (15.1 %). The most common diagnoses encountered were: Acute leukemia 69 (28.2%), Active marrow (negative for lymphoma) 27 (11.1%) and active marrow 24 (9.8%). The frequency of dry tap was (4.08%) and the most common causes were: acute leukemia and faulty technique (normal marrow). Conclusion: Bone marrow examination is an important diagnostic tool in the diagnosis and staging of various hematological disorders.

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