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Czasopismo

2003 | 62 | 1 |

Tytuł artykułu

Histomorphometric study of megakaryocytes in bone marrow in selected myeloproliferative and lymphoproliferative diseases

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The aim of the study was an estimation of the histomorphometry of megakaryocytes (MK) in bone marrow in selected myeloproliferative and lymphoproliferative diseases. Bone marrow specimens were obtained by trephine biopsies from 41 patients with polycythaemia rubra vera (PV), idiopathic myelofibrosis (MF), chronic lymphocytic leukaemia (CLL), hairy cell leukaemia (HCL) and diffuse large B-cell lymphoma (L). Morphometric evaluation was performed using a standard program set MicroImage (OLYMPUS). The greatest number of typical nucleated MK, “naked” nuclei, anucleated cytoplasmic fragments and the largest area were found in PV. The circular deviation factor of MK and their nuclei increased in all cases. The greatest number of clusters was observed in PV and HCL. A significant increase in the number of dysplastic and “naked” nuclei of MK was noted in all selected haematological diseases. The presence of neoplastic cells in bone marrow increased the morphological changes in MK. Quantitative and morphometrical significant differentiation of MK in separate microscopic field in the same slides confirms the necessity of performing trephine biopsies in each patient with haematological disorders.

Wydawca

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Czasopismo

Rocznik

Tom

62

Numer

1

Opis fizyczny

p.51-56,fig.

Twórcy

  • Medical Academy, Mickiewicza 2A, 15-230 Bialystok 8, Poland
autor
autor

Bibliografia

  • 1. Brunning RD, McKenna RW (1994) Tumors of the bone marrow. Atlas of tumor pathology. Third Series. Armed Forces Institute of Pathology. Washington, DC.
  • 2. Chott A, Gisslinger H, Thiele J, Fritz E, Linkesch W, Radaszkiewicz T, Ludwig H (1990) Interferon-alpha-induced morphological changes of megakaryocytes: a histomorphometrical study on bone marrow biopsies in chronic myeloproliferative disorders with excessive thrombocytosis. Br J Haemat, 74: 10–16.
  • 3. Dzięcioł J, Dębek W, Chyczewski L, Sulkowski S, Kozielec Z, Kisielewski W (1995) Megakariocyty krążące we krwi w doświadczalnym wstrząsie krwotocznym u szczurów. Acta Haematol Pol, 1: 91–97.
  • 4. Dzięcioł J, Pająk J, Dębek W, Chyczewski L, Sulkowski S, Kozielec Z (1995) Histomorfometryczna ocena megakariocytów szpiku kostnego w doświadczalnym wstrząsie krwotocznym u szczurów. Acta Haematol Pol, 26 (1): 81–89.
  • 5. Ebbe S, Stohlman F (1965) Megakaryocytopoiesis in the rat. Blood, 26: 20–35.
  • 6. Han ZC, Bellucci S, Caen JP (1991) Megakaryocytopoiesis: characterization and regulation in normal and pathologic states. Intern J Haematol, 54: 3–14.
  • 7. Kaloutsi V, Fritsch RS, Buhr T, Restrepo-Specht I, Widjaja W, Georgii A (1991) Megakaryocytes in chronic myeloproliferative disorders: numerical density correlated between different entities. Virchows Archiv A Pathol Anat, 418: 493–497.
  • 8. Lee KP (1989) Emperipolesis of hematopoietic cells within megakaryocytes in bone marrow of the rat. Vet Pathol, 26: 473–478.
  • 9. Maryniak RK (1999) Przydatność badań histopatologicznych szpiku w diagnostyce chorób rozrostowych krwi. Acta Haematol Pol, 30 (Suppl 1): 105–109.
  • 10. Matolcsy A, Majdic O (1990) Circulating megakaryoblasts in chronic myeloproliferative diseases. Acta Haematol, 84: 57–63.
  • 11. Mioduszewska O (1998) Patologia chłoniaków i ziarnicy złośliwej. Pol J Pathol, 49 (Suppl 4): 47.
  • 12. Nafe R, Georgii A, Kaloutsi V, Fritsch RS, Choritz H (1991) Planimetric analysis of megakaryocytes in the four main groups of chronic myeloproliferative disorders. Virchows Archiv B Cell Pathol, 61: 111–116.
  • 13. Odell TT, Jackson CW (1968) Polyploidy and maturation in rat megakaryocytes. Blood, 32: 102–110.
  • 14. Podolak-Dawidziak M (1991) Rozwój, budowa i dojrzewanie megakariocytów. Cz. I. Pol Arch Med Wewn, 85: 128–133.
  • 15. Rzepecki P, Sułek K, Hałka J (1999) Histologiczne klasyfikacje przewlekłych zespołów mieloproliferacyjnych. Acta Haematol Pol, 30 (3): 241–248.
  • 16. Tavassoli M (1986) Modulation of megakaryocyte emperipolesis by phlebotomy: megakaryocytes as a component of marrow-blood barrier. Blood Cells 12: 205–216.
  • 17. Thiele J, Fischer R (1991) Megakaryocytopoiesis in haematological disorders: diagnostic features of bone marrow biopsies. Virchows Arch A Pathol Anat, 418: 81–97.
  • 18. Thiele J, Schneider G, Hoeppner B, Wienhold S, Zankovich R, Fischer R (1988) Histomorphometry of bone marrow biopsies in chronic myeloproliferative disorders with associated thrombocytosis - features of significance for the diagnosis of primary (essential) thrombocythaemia. Virchows Archiv A Pathol Anat, 413: 407–417.
  • 19. Thiele J, Steinberg T, Hoeppner B, Wienhold S, Wagner S, Dienemann, Fischer R (1990) Histo- and immunomorphometry of megakaryopoiesis in chronic myeloid leukemia with myelofibrosis and so-called primary (idiopathic) osteo-myelofibrosis/-sclerosis. Anal Cell Pathol, 2: 215–227.

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Bibliografia

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