Bone Marrow work-up: report of a pilot study

Recent Results Cancer Res. 2015:199:95-105. doi: 10.1007/978-3-319-13957-9_10.

Abstract

In this pilot study we changed several pre-analytical variables of bone marrow trephine biopsy processing with the task to achieve not only a preservation of morphology and antigens but also of nucleic acids. The changes involved employment of a newly established decalcification solution in conjunction with a short fixation time (2 h after receiving the specimens) and performance of decalcification at 37 °C. The comparison of the obtained results from three specimens with those of our routinely established protocol unequivocally revealed that the novel decalcification solution results in a superior preservation of nucleic acids, with only slight differences in preservation of morphology and cellular antigens. These encouraging results imply that this novel decalcification solution will allow a widely accepted standardization of bone marrow trephine biopsy processing.

MeSH terms

  • Biopsy / methods
  • Bone Marrow / chemistry
  • Bone Marrow / metabolism
  • Bone Marrow / pathology*
  • Clonal Evolution
  • DNA / isolation & purification
  • DNA / standards
  • Humans
  • Immunoglobulin Heavy Chains / genetics
  • Immunoglobulin Heavy Chains / metabolism
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Pilot Projects
  • Polymerase Chain Reaction / standards
  • Quality Control
  • Specimen Handling / methods*
  • Specimen Handling / standards

Substances

  • Immunoglobulin Heavy Chains
  • DNA