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Abstract

Bone marrow pathology is predominantly based on disorders of the primary hematologic components. These include neoplasms of the myeloid, erythroid, and megakaryocytic elements as well as lymphocytes and plasma cells. There are a broad range of congenital and reactive conditions of the bone marrow, and infections may also affect this highly vascular organ system. In addition, there are a range of acute and chronic neoplasms of the marrow which include acute myeloid and lymphoid leukemias, myeloproliferative neoplasms, and myelodysplastic syndromes, as well as a broad range of lymphomas and plasma cell neoplasms.

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    Article  CAS  PubMed  Google Scholar 

  • Bennett JM, Orazi A. Diagnostic criteria to distinguish hypocellular acute myeloid leukemia from hypocellular myelodysplastic syndromes and aplastic anemia: recommendations for a standardized approach. Haematologica. 2009;94:264–8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Boveri E, Arcaini L, Merli M, et al. Bone marrow histology in marginal zone B-cell lymphomas: correlation with clinical parameters and flow cytometry in 120 patients. Ann Oncol. 2009;20:129–36.

    Article  CAS  PubMed  Google Scholar 

  • Davis BH, Holden JT, Bene MC, et al. 2006 Bethesda International Consensus recommendations on the flow cytometric immunophenotypic analysis of hematolymphoid neoplasia: medical indications. Cytometry B Clin Cytom. 2007;72 Suppl 1:S5–S13.

    Article  PubMed  Google Scholar 

  • Della Porta MG, Malcovati L, Boveri E, et al. Clinical relevance of bone marrow fibrosis and CD34-positive cell clusters in primary myelodysplastic syndromes. J Clin Oncol. 2009;27:754–62.

    Article  PubMed  Google Scholar 

  • Della Porta MG, Travaglino E, Boveri E, et al. Minimal morphological criteria for defining bone marrow dysplasia: a basis for clinical implementation of WHO classification of myelodysplastic syndromes. Leukemia. 2014;29:66–75.

    Article  PubMed  Google Scholar 

  • Dunphy CH, O’Malley DP, Perkins SL, Chang CC. Analysis of immunohistochemical markers in bone marrow sections to evaluate for myelodysplastic syndromes and acute myeloid leukemias. Appl Immunohistochem Mol Morphol. 2007;15:154–9.

    Article  CAS  PubMed  Google Scholar 

  • Gotlib J. World Health Organization-defined eosinophilic disorders: 2014 update on diagnosis, risk stratification, and management. Am J Hematol. 2014;89:325–37.

    Article  CAS  PubMed  Google Scholar 

  • Ho AK, Hill S, Preobrazhensky SN, Miller ME, Chen Z, Bahler DW. Small B-cell neoplasms with typical mantle cell lymphoma immunophenotypes often include chronic lymphocytic leukemias. Am J Clin Pathol. 2009;131:27–32.

    Article  PubMed  Google Scholar 

  • Inamdar KV, Bueso-Ramos CE. Pathology of chronic lymphocytic leukemia: an update. Ann Diagn Pathol. 2007;11:363–89.

    Article  PubMed  Google Scholar 

  • Inamdar KV, Medeiros LJ, Jorgensen JL, Amin HM, Schlette EJ. Bone marrow involvement by marginal zone B-cell lymphomas of different types. Am J Clin Pathol. 2008;129:714–22.

    Article  PubMed  Google Scholar 

  • Klampfl T, Gisslinger H, Harutyunyan AS, et al. Somatic mutations of calreticulin in myeloproliferative neoplasms. N Engl J Med. 2013;369:2379–90.

    Article  CAS  PubMed  Google Scholar 

  • Ley TJ, Miller C, Ding L, (Cancer Genome Atlas Research Network), et al. Genomic and epigenomic landscapes of adult de novo acute myeloid leukemia. N Engl J Med. 2013;368:2059–74.

    Article  Google Scholar 

  • Matutes E, Oscier D, Montalban C, et al. Splenic marginal zone lymphoma proposals for a revision of diagnostic, staging and therapeutic criteria. Leukemia. 2008;22:487–95.

    Article  CAS  PubMed  Google Scholar 

  • Morice WG, Kurtin PJ, Hodnefield JM, et al. Predictive value of blood and bone marrow flow cytometry in B-cell lymphoma classification: comparative analysis of flow cytometry and tissue biopsy in 252 patients. Mayo Clin Proc. 2008;83:776–85.

    Article  PubMed  Google Scholar 

  • Nolte F, Hofmann WK. Myelodysplastic syndromes: molecular pathogenesis and genomic changes. Ann Hematol. 2008;87:777–95.

    Article  PubMed  Google Scholar 

  • Nybakken GE, Bagg A. The genetic basis and expanding role of molecular analysis in the diagnosis, prognosis, and therapeutic design for myelodysplastic syndromes. J Mol Diagn. 2014;16:145–58.

    Article  CAS  PubMed  Google Scholar 

  • Orazi A. Histopathology in the diagnosis and classification of acute myeloid leukemia, myelodysplastic syndromes, and myelodysplastic/myeloproliferative diseases. Pathobiology. 2007;74:97–114.

    Article  PubMed  Google Scholar 

  • Orazi A, Germing U. The myelodysplastic/myeloproliferative neoplasms: myeloproliferative diseases with dysplastic features. Leukemia. 2008;22:1308–19.

    Article  CAS  PubMed  Google Scholar 

  • Pagnucco G, Giambanco C, Gervasi F. The role of flow cytometric immunophenotyping in myelodysplastic syndromes. Ann N Y Acad Sci. 2006;1089:383–94.

    Article  PubMed  Google Scholar 

  • Peterson LC, Agosti SJ, Hoyer JD, Hematology clinical Microscopy Resource Committee, Members of the Cancer Committee, College of American Pathologists. Protocol for the examination of specimens from patients with hematopoietic neoplasms of the bone marrow: a basis for checklists. Arch Pathol Lab Med. 2002;126:1050–6.

    PubMed  Google Scholar 

  • Swerdlow SH, Campo E, Harris NL, et al. World Health Organization Classification of Tumours: Pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyon: IARC; 2008.

    Google Scholar 

  • Tefferi A, Thiele J, Orazi A, et al. Proposals and rationale for revision of the World Health Organization diagnostic criteria for polycythemia vera, essential thrombocythemia, and primary myelofibrosis: recommendations from an ad hoc international expert panel. Blood. 2007;110:1092–7.

    Article  CAS  PubMed  Google Scholar 

  • Veillon DM, Cotelingam JD. Pathologic studies useful for the diagnosis and monitoring of plasma cell dyscrasias. Contrib Nephrol. 2007;153:25–43.

    Article  PubMed  Google Scholar 

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Correspondence to Dennis P. O’Malley MD .

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O’Malley, D.P., Fedoriw, Y. (2016). Bone Marrow. In: Cheng, L., Bostwick, D. (eds) Essentials of Anatomic Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-23380-2_17

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  • DOI: https://doi.org/10.1007/978-3-319-23380-2_17

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23379-6

  • Online ISBN: 978-3-319-23380-2

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