DIAGNOSTIC SIGNIFICANCE OF BONE MARROW EXAMINATION AND ROUTINE HEMATOLOGIC PARAMETERS IN METASTATIC CANCER OF BONE MARROW / 解放军医学杂志

ABSTRACT

This paper reports 51 patients with malignant tumors (male 38, female 13). Tumor cells were found by microscopic examination of marrow aspirate smear in 21 of them. Among the patients with positive marrow smear for tumor cells, most of them had anemia, thrombocytopenia, and leucoerythrobla-stosis in peripheral blood and elevated levels of alkaline phosphatase, lactate dehydrogenase and eryth-rocyte sedimentation rate. The results showed that bone marrow examination and some hematologic parameters are of value in the diagnosis of metastatic cancer of the bone marrow. If it is necessary, marrow clot section, marrow biopsy, bone roentgenogram and bone scan should be carried out in order to further ascertain the diagnosis.