Top
30
Doctor insights on: Is There A Difference Between A Spinal Tap And A Bone Marrow Aspiration

Share
1

1
Is there a difference between a spinal tap and a bone marrow aspiration?

Is there a difference between a spinal tap and a bone marrow aspiration?

YES!!!: You are confused because they are both done on your back but a spinal tap is to obtain the liquid that in your nervous system around your spine and brain. A bone marrow aspiration is done in the iliac bone to obtain a sample of cells inside the bone cavity where blood cells develop and grow. ...Read more

Bone Marrow (Definition)

Bone marrow is the flexible tissue found in the interior of bones. In humans, red blood cells are produced in the heads of long bones, in a process known as hematopoesis. On average, bone marrow constitutes 4% of the total body mass of humans; in an adult weighing 65 kilograms (140 lb), bone marrow accounts for approximately ...Read more


2

2
What is the difference between a spinal tap and a bone marrow aspiration?

What is the difference between a spinal tap and a bone marrow aspiration?

Completelt different: Spinal tap is done by putting a needle to the lumbar(lower back area) spinal canal space- to obtain cerebro spinal fluid. Bone marrow aspiration is done on the pelvic bone/hip bone — by putting a needle into the bone- going to the marrow space and aspirate the blood part inside the bone (i.e. Marrow). The indication, procedure, technique, etc area different. Completely different procedures. ...Read more

3

3
What is the difference between bone marrow aspiration n bone marrow biopsy what tests are performed in both?

What is the difference between bone marrow aspiration n bone marrow biopsy what tests are performed in both?

More info: A bone marrow aspirate is just drawing bone marrow into a syringe for evaluation. A biopsy actually removes a core of bone from the marrow cavity to check for architecture of the marrow. ...Read more

4

4
Why is dry tap found during bone marrow aspiration in patients with leukemia?

Why is dry tap found during bone marrow aspiration in patients with leukemia?

Dry Tap: This refers to the physician not being able to aspirate any liquid bone marrow when obtaining a sample. This can be caused by chemotherapy causing the bone marrow to be empty, scarring of the bone marrow (fibrosis), prior radiation to the area of the procedure, and sometime to persistent or recurrent leukemia. ...Read more

6

6
I'm an 18 y/o male and I'm getting a bone marrow aspiration and byopsie. How badly will this hurt?

I'm an 18 y/o male and I'm getting a bone marrow aspiration and byopsie. How badly will this hurt?

Not too bad!: As someone who has donated bone marrow, I can tell you that the procedure is quite comfortable, and the next day felt like mild low back pain which I was able to control with tylenol (acetaminophen). Good luck! ...Read more

7

7
What exactly is a bone marrow aspiration?

What exactly is a bone marrow aspiration?

Sampling of marrow: This is a removal of the liquid marrow within the bone. A needle is inserted through the skin and then into the bone. From this site, marrow is withdrawn. The bone typically used is the hip bone. The marrow looks like blood, but is made up of a very different group of cells. ...Read more

8

8
What is diagnosed with a bone marrow aspiration?

What is diagnosed with a bone marrow aspiration?

BONE MARROW ASPIRATE: Bone marrow aspirations are done to determine whether a patient has, for example, leukemia, anemia, bone cancer, multiple myeloma and other diseases, and to confirm certain diagnoses. ...Read more

10

10
Pls hematologist opinion blast cells less than 1 percent but 14 percent plasma cells in bone marrow aspiration means?

Pls hematologist opinion blast cells less than 1 percent but 14 percent plasma cells in bone marrow aspiration means?

Difficult to tell.: From my reading, a blast percentage of 6% is needed for a sure diagnosis of acute leukemia. Toxins, allergies, infections, diabetes, liver disease, inflammation, and anemias can all cause a leukeamoid reaction that causes plasmacytosis in the bone marrow usually lower than 20% but sometimes up to 50%. Immunohistological studies can give more information. Need more info like blood cell counts. ...Read more

11

11
Counting 500 cells manually in a bone marrow aspiration there are 14 percent plasma cells what does this mean?

Counting 500 cells manually in a bone marrow aspiration there are 14 percent plasma cells what does this mean?

Plasma cell cancers: Normal bone marrow has 10% could suggest plasma cell cancers. Definitive diagnosis, however, should be interpreted in the context of other data such as immunofixation. Smoldering multiple myeloma has >10% plasma cells (malignant cells) in BM without end organ damage. Amyloidosis and some lymphoma can also have elevated plasma cells in BM. ...Read more

12

12
What's the origin of the name jamshidi (the bone marrow aspiration needle)?

What's the origin of the name jamshidi (the bone marrow aspiration needle)?

Khosrow jamshidi: Khosrow jamshidi is an iranian hematologist who invented the jamshidi needle. ...Read more

14

14
Do bone marrow aspiration hurt?

Do bone marrow aspiration hurt?

During and After: I had bone marrow aspirated twice. Under local anesthesia the answer is kinda — it is the most unusual sensation and feels like someone is sucking the marrow out of your hip. While it was unpleasant, it was not terrible. As a bone marrow donor the answer is yes post-operatively the areas of the hips are very sore while there is no pain while the bone marrow is aspirated under general anesthesia? ...Read more

15

15
Hi there, my question is will a blood transfusion made in a two weeks time before the bone marrow aspiration would affect the testing?

Hi there, my question is will a blood transfusion made in a two weeks time before the bone marrow aspiration would affect the testing?

Not much: The bone marrow aspiration will assess the production of rbc, and transfusion will not impact those findings to any clinically meaningful extent. ...Read more

17

17
Dx chronic anemia.last bone marrow aspiration 4 yrs ago. Have had erethropoetin output 1-4since then hgb generally 8.0-11.1 hct relative. Feel hem/onc Dr ignoring me should I get updated aspiration? Many symptoms-chest pain, extreme exhaustion. Epo output

Dx chronic anemia.last bone marrow aspiration 4 yrs ago. Have had erethropoetin output 1-4since then hgb generally 8.0-11.1 hct relative. Feel hem/onc Dr ignoring me should I get updated aspiration? Many symptoms-chest pain, extreme exhaustion. Epo output

Chronic anemia: The main reason to repeat the marrow biopsy would be if there was a change in your disease- more refractory, more wbc, lower plts, etc. If the underlying chronic disease cannot be treated or is unknown, then using EPO to treat and monitoring hgb is quite reasonable management. But it sounds like you may wish to have more explanation. Making and apmt to talk or ask questions is OK, or consult here. ...Read more

18

18
I have low epo output and extremely low iron stores in bone marrow(aspiration done). Chronic anemia-can be as low as 6.2-8.2 on regular basis Can this affect my teeth? It seems since my dx 8-10 yrs ago I have had terrible tooth decay and poor gums. Of cor

I have low epo output and extremely low iron stores in bone marrow(aspiration done). Chronic anemia-can be as low as 6.2-8.2 on regular basis Can this affect my teeth? It seems since my dx 8-10 yrs ago I have had terrible tooth decay and poor gums. Of cor

Possibilities: It could make you more susceptible to gums disease. It shouldn't affect your teeth unless something you are taking is causing dry mouth. Things that could affect your susceptibility to decay are menopause, vomiting, and heart burn.

You don't have to have problems if you take care of your teeth. ...Read more

19

19
Would the two procedures spinal tap and bone marrow be done at the same time?

Would the two procedures spinal tap and bone marrow be done at the same time?

Generally not: however, I cannot think of a reason that it couldn't be done in one session! (Not "simultaneously" but one following the other!
Hope this helps
Dr Z ...Read more

20

20
Is it common to do a bone marrow biopsy and a spinal tap in one day/doctors visit?

Is it common to do a bone marrow biopsy and a spinal tap in one day/doctors visit?

Neither is common: None of these procedures are common and even less common together, however, that does not mean that there was anything inappropriate in doing the two procedures in one visit. It would depend on what is suspected to be your health issue. ...Read more

21

21
Is it common for a bone marrow biopsy and a spinal tap to happen during the same day/doctor visit?

Might be needed: Here is some general information on spinal tap:
http://www.webmd.com/brain/lumbar-puncture#1

And bone marrow biopsy:
https://guysandstthomas.nhs.uk/resources/patient-information/cancer/procedures/bone-marrow-biopsy.pdf

For specific advice regarding the appropriateness of doing both on the same visit suggest discussion with your doctor before proceeding so can understand why both were ordered. ...Read more

22

22
Chronic high white blood cell count for 2 years, from 11k to 32k, have had much blood test, IV pic, bone marrow test, spinal tap, all negative?

Chronic high white blood cell count for 2 years, from 11k to 32k, have had much blood test, IV pic, bone marrow test, spinal tap, all negative?

Test: Iif there is other symptom related (unintentional weight loss, bleeding, abdominal pain etc). — consider to get imaging- ct scans. Also, cancer screening- colonoscopy, papsmear, mammogram etc
if you smoke- please quit smoking. Also, sometimes medication can increase WBC — although usually not more than 15k.
What is the WBC differential? ...Read more

23

23
What are the differences between a bone marrow biopsy and aspiration?

Nothing...: They are literally the same... The aspiration is the procedure... And then the pathologist looks at the sample as a biopsy specimen. ...Read more

24

24
What tests should be done frm bone marrow biopsy n aspiration slides?

Depends on purpose: How many tests can be done from blood? Millions. How many tests can be done from a bone marrow biopsy (BMB) specimen? Many? What tests should be done? It depends on 1) purpose for performing the BMB and 2) the findings the pathologist sees on morphologic examination of the aspirate & biopsy. Tests may include stains for iron or congo red (amyloidosis) as well as flow cytometry, cytogenetics, FISH. ...Read more

25

25
What does it mean if a bone marrow biopsy/aspiration report shows hypocellular marrow?

Hypocellular marrow: The normal bone marrow is a mixture of cells and fat. Hypocellular marrow means the marrow has fewer cells in the bone marrow space that is expected for that patient's age.
There are many causes for this including nutritional deficiencies, bone marrow failure syndomes, pre-leukemia (myelodysplasia), prior chemotherapy, toxins and medications. ...Read more

26

26
Can you tell me about bone marrow biopsy/aspiration report shows hypocellular marrow?

Can you tell me about bone marrow biopsy/aspiration report shows hypocellular marrow?

Talk to doctor: This is a complicated issue to address in this forum. You should discuss it with your doctor and the two of you may wish to involve the pathologist who signed out the bone marrow report. ...Read more

28

28
Do bone marrow aspirations mean leukemia?

Do bone marrow aspirations mean leukemia?

No: We do them for several reasons including evaluation for an abnormal cbc. Sometimes we are concerned about leukemia but the other reasons include the following: anemia, low platelets, staging of lymphoma, monitoring therapy. Hope this helps. ...Read more

29

29
Are bone marrow biopsies and aspirations risky?

Are bone marrow biopsies and aspirations risky?

Low risk: There is always risk involved in any procedure. Some have greater risk than others. Generally speaking, bone marrow biopsies are low risk, but your hematologist would be the best person to assess whether the risk outweighs the potential benefit, which is the real question. ...Read more

30

30
Can any doc tell me what's meant when a bone marrow biopsy/aspiration report shows hypocellular marrow?

Can any doc tell me what's meant when a bone marrow biopsy/aspiration report shows hypocellular marrow?

Bone marrow: Bone marrow cellularity refers to how much of the marrow is making blood cells, and how much is fat. As people age, it tends to decline and move more centrally. Severe hypocellularity may indicate aplastic anemia or even leukemia, which needs treatment. Lesser degrees may or may not, depending on other symptoms and lab findings. ...Read more

Aspiration (Definition)

1. The removal of a gas or fluid by suction. 2. The sucking of fluid or a foreign body into the airway when drawing breath. 3. A surgical technique used in the treatment of cataracts of the eye, in which an incision is made into the cornea, the lens capsule is severed, and the material of the lens is fragmented and ...Read more


Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more