[brextonsmom]

My son who is 8 had a bone marrow biopsy on 12/13/13. The hemotologist at U of M tells me that everything is normal from my reading of these, things are not normal. Should I get a second opinion please help. He has been diagnosed with uticaria pigmentosa at the age of 9mo, beta thallassemia minor also. I am new to bone marrow biopsys and I am lost on all this. I found this forum as I was google searching some of these words in these results. I hope that someone can help me in here!

HEMATOPATHOLOGY REPORT

Order Number: SU-13-40409 Date Received: 12/13/2013 4:00 PM
Date Completed: 12/18/2013 1:15 PM Date Collected: 12/13/2013 3:30 PM

Diagnosis:
A-B. Bone marrow, unilateral core biopsy, aspirate smear, aspirate clot
section, and peripheral blood smear: Overall bone marrow cellularity
approximately 60-70% with trilineage hematopoietic maturation. No
morphologic evidence of mastocytosis.

Signing pathologist: Smith, Lauren


Microscopic Description:
COMPLETE BLOOD COUNT (12/13/2013):
WBC (K/uL): 12.6
RBC (million/uL): 5.87
HGB (g/dL): 10.5
HCT (%): 32.9
MCV (fL): 56
RDW (%): 15.9
PLT (K/uL): 284

ADEQUACY: Adequate.

CELLULARITY: 60-70%, mildly hypocellular for age.

ERYTHROID ELEMENTS: Adequate with maturation.

MYELOID ELEMENTS: Mildly decreased with maturation.

MEGAKARYOCYTES: Adequate with normal morphology.

PERIPHERAL BLOOD: Review of the peripheral blood smear reveals microcytosis
with mild anemia and numerous target cells consistent with reported
thalassemia trait.

ADDITIONAL STUDIES: A tryptase stain is negative.

ANCILLARY STUDIES: Please refer to FC-13-5082 for concurrent flow
cytometric analysis.

Differential Counts:

Peripheral Blood

200 cells counted

Cell Type % of Total H/L Reference
Cell Range %
Count
BLAST 0.00 0% - 0%
PROMYELOCYTE 0.00 0% - 0%
MYELOCYTE 0.00 0% - 0%

Cell Type % of Total H/L Reference
Cell Range %
Count
METAMYELOCYTE 0.00 0% - 0%
NEUTROPHIL (SEG-BAND) 59.00 34% - 70%
LYMPHOCYTE 25.00 25% - 45%
MONOCYTE AND PRECURSORS 13.00 H 3% - 8%
EOSINOPHIL 3.00 0% - 4%
BASOPHIL 0.00 0% - 2%
PLASMA CELL 0.00 0% - 0%

Bone Marrow Aspirate

500 cells counted

Cell Type % of Total H/L Reference
Cell Range %
Count
BLAST 2.20 H 0% - 2%
PROMYELOCYTE 0.80 L 2% - 6%
NEUTROPHIL AND OTHER 34.00 L 40% - 65%
PREC
ERYTHROID PRECURSOR 26.40 H 18% - 22%
LYMPHOCYTE 28.80 20% - 30%
MONOCYTE AND PRECURSOR 4.80 H 0% - 1%
EOSINOPHIL AND 3.00 0% - 3%
PRECURSOR
BASOPHIL AND PRECURSOR 0.00 0% - 1%
PLASMA CELL 0.00 0% - 3%

Gross Description:
A. "Bm bx rt." Received in AZF fixative is a 1.3 cm brown, bony core,
submitted for decalcification. (1ns)
B. "Clot." Approximately 0.8 g of aspirate clot material. (1 cassette ns)
SKA

History:
Mastocytosis?

Electronically Signed By:
Lauren B. Smith, M.D.
I, the above named pathologist, have personally examined and interpreted
the slides from this case.


CPT Codes:
Specimen CPT Code Number of Charges
D 85060 1
C 85097 1
A, B 88305 2
A 88311 1
A 88342 1