Meaning and indications for myelogram test

The article was written by Specialist Doctor II Le Thi Na - Laboratory Department - Vinmec Times City International Hospital

Bone marrow is an important hematopoietic organ and the major site of blood production in adults. The myelogram is a test that explores the hematopoietic function as well as suggests the causes of the hematopoietic dysfunction in the marrow by analyzing the number and morphology of bone marrow cells.

Bone marrow is valuable for definite diagnosis, stage diagnosis and follow-up treatment for diseases of blood-forming organs.
This is a test used to probe hematopoietic function as well as to suggest causes of bone marrow hematopoietic dysfunction in other diseases.

When the total blood count is abnormal, the cause cannot be determined by other tests.
>>> Advice on test results of total peripheral blood cell analysis
Patient has a fever of unknown cause.
Diagnosis of hematopoietic disorders: myeloproliferative disorders, leukemia, myeloproliferative disorders.
Diagnosis of immune disorders : multiple myeloma .
Check the marrow status of patients with malignant lymphomas and tumors of other organs.
Monitor response to treatment.
Evaluation of bone marrow status in bone marrow transplant patients.
Hematopoietic status of the marrow in other diseases: infection, systemic disease, metastatic cancer, after radiation therapy or tuberculosis.

To perform a myelogram, there are 2 steps that need to be done: bone marrow aspiration and bone marrow cytology.
Bone marrow aspiration: This procedure is performed by a trained, authorized doctor with the help of a laboratory technician or nurse. Procedure site: usually performed in posterior superior iliac spine, anterior superior iliac spine, sternum or upper tibia, calcaneal bone... Before the procedure, local anesthesia is carried out for children. I can be sedated.
Perform bone marrow aspiration to count the number of marrow cells, make herd specimens, marrow reticulocytes and can perform some other tests according to clinical requirements. After the procedure, the patient is rested and instructed to protect the wound from infection.
Bone marrow cytology: The test is done by a trained hematologist. The doctor will analyze the morphological characteristics, the differentiation properties of each line of red blood cells, white blood cells and platelet samples; calculate the reticulocyte percentage and myelocytosis, detect abnormalities such as malignancy, reproductive and differentiation disorders, or metastatic cancer.
Answers to the results of the myelogram test: the quality of the specimen, the richness of the bone marrow, the analysis of the number, quantity and morphology of normal and abnormal cell lines (if any).
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, a system of modern equipment and technology. The hospital provides comprehensive and professional medical examination, consultation and treatment services, with a civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.