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Bone marrow aspiration

Iliac crest tap; Sternal tap; Leukemia - bone marrow aspiration; Aplastic anemia - bone marrow aspiration; Myelodysplastic syndrome - bone marrow aspiration; Thrombocytopenia - bone marrow aspiration; Myelofibrosis - bone marrow aspiration

Bone marrow is the soft tissue inside bones that helps form blood cells. It is found in the hollow part of most bones. Bone marrow aspiration is the removal of a small amount of this tissue in liquid form for examination.

Bone marrow aspiration is not the same as bone marrow biopsy. A biopsy removes a core of bone tissue for examination.

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Bone marrow aspiration
Sternum - view of the outside (anterior)

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How the Test is Performed

Bone marrow aspiration may be done in the health care provider's office or in a hospital. The bone marrow is removed from your pelvic or breast bone. Sometimes, another bone is selected.

Marrow is removed in the following steps:

The bone marrow fluid is sent to a laboratory and examined under a microscope.

How to Prepare for the Test

Tell the provider:

How the Test will Feel

You will feel a sting and slight burning sensation when the numbing medicine is applied. You may feel pressure as the needle is inserted into the bone, and a sharp and usually painful sucking sensation as the marrow is removed. This feeling lasts for only a few seconds.

Why the Test is Performed

Your doctor may order this test if you have abnormal types or numbers of red or white blood cells or platelets on a complete blood count.

This test is used to diagnose:

It may help determine whether cancers have spread or responded to treatment.

Normal Results

The bone marrow should contain the proper number and types of:

What Abnormal Results Mean

Abnormal results may be due to cancers of the bone marrow, including:

Abnormal results may also be due to other causes, such as:

Risks

There may be some bleeding at the puncture site. More serious risks, such as serious bleeding or infection, are very rare.

Related Information

Anemia
Myelofibrosis
Granulomatosis with polyangiitis
Hodgkin lymphoma
Cancer
Thrombocytopenia
Acute lymphoblastic leukemia (ALL)
Acute myeloid leukemia - adult
Vitamin B12 deficiency anemia
Folate-deficiency anemia
Chronic lymphocytic leukemia (CLL)
Chronic myelogenous leukemia (CML)
Immune thrombocytopenic purpura (ITP)
Waldenström macroglobulinemia
Pernicious anemia
Multiple myeloma

References

Chernecky CC, Berger BJ. Bone marrow aspiration analysis – specimen (biopsy, bone marrow iron stain, iron stain, bone marrow). In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. Philadelphia, PA: Elsevier; 2013:241-244.

Vajpayee N, Graham SS, Bem S. Basic examination of blood and bone marrow. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed. Philadelphia, PA: Elsevier; 2017:chap 30.

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Review Date: 4/2/2018  

Reviewed By: Richard LoCicero, MD, private practice specializing in hematology and medical oncology, Longstreet Cancer Center, Gainesville, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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