Journal of Cytology
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Year : 1997  |  Volume : 14  |  Issue : 2  |  Page : 13-20

Bone marrow cytology in metastatic carcinoma

1 Assoc. Professor - Pathology, Associated Cancer Hospital, Allahabad, India
2 Chief Resident - Pathology, Associated Cancer Hospital, Allahabad, India
3 Assoc. Professor -Surgery, Associated Cancer Hospital, Allahabad, India
4 Sr. Resident - Surgery, Associated Cancer Hospital, Allahabad, India
5 Asst. Professor - Radiotherapy, Associated Cancer Hospital, Allahabad, India

Correspondence Address:
P A Singh
Boys' High School, 4, P.D. Tandon Road, Allahabad - 211 001
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Source of Support: None, Conflict of Interest: None

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Bone marrow smears of 96 patients (49 females, 47 males) with malignancy were studied Of these, 29 (30.21%) had evidence of bone marrow involvement. Patients with advanced stage of malignancy were more affected (41.46%; p <0.001). An increase in incidence was observed with advanced age, especially in females. Bone marrow involvement was more common in females than males (p<0.025). The primary sites were - breast (28.13%), stomach (16.67%), thyroid (14.58%), prostate (11.46%), colon (9.38%), lungs (9.38%), kidney (7.29%) and pancreas (3.13%). Bone marrow positivity was observed in malignancies of breast (51.85%), pancreas (33.33%), lungs(33.33%), stomach (25%), colon (22.22%), prostate (18.18%), thyroid and kidney (14.29% each). Metastasis in liver (50%) was the most frequent accompaniment of bone marrow involvement, followed by lungs (9.09%) and bones (9.09%). Bones near the primary site were more involved. No definite relationship existed between positivity of bone marrow and skiagram. Bone marrow examination can be applied as a important diagnostic tool in detecting dissemination of malignancies in patients with advanced disease.

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