Vnitr Lek 2009, 55(Suppl 1):52-58

Paediatric tumours metastasizing to bone marrow and their haematological characterisation

S. Valníček1,*, J. Zapletal1, J. Blatný1, B. Jordanová1, M. Kokeszová1, D. Kodýtková2
1 Oddělení klinické hematologie FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Miroslav Penka, CSc., pracoviště Dětská nemocnice, vedoucí lékař MUDr. Jan Blatný, Ph.D.
2 Klinika dětské onkologie Lékařské fakulty MU a FN Brno, pracoviště Dětská nemocnice, přednosta prof. MUDr. Jaroslav Štěrba, Ph.D.

The paper provides an overview of paediatric tumours most frequently metastasizing to bone marrow, reviews briefly possible clinical and laboratory signs of metastases and lists and evaluates morphological methods of their diagnosis with particular focus on haematological investigations of bone marrow aspirations. The paper briefly touches upon the morphology of the most important tumours in this group and, in attachments, presents their microphotographs with explanatory notes. Possible difficulties faced by the clinicians when evaluating the tumours are highlighted. The authors cite published literature and share experiences from their own practice.

Keywords: paediatric tumours; bone marrow metastases; morphology; bone marrow aspiration

Received: April 10, 2009; Published: February 1, 2009  Show citation

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Valníček S, Zapletal J, Blatný J, Jordanová B, Kokeszová M, Kodýtková D. Paediatric tumours metastasizing to bone marrow and their haematological characterisation. Vnitr Lek. 2009;55(Supplementum 1):52-58.
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References

  1. Bain BJ, Clark DM, Lampert IA et al. Bone Marrow Pathology. Oxford: Blackwell Science 2001; 430-447, 456-457. Go to original source...
  2. Finkelstein JZ, Ekert H, Isaacs H et al. Bone marrow metastases in children with solid tumours. Am J Dis Child 1970; 119: 49-52. Go to original source... Go to PubMed...
  3. Delta BG, Pinkel D. Bone marrow aspiration in children with malignant tumours. J Paediatr 1964; 64: 542-546. Go to original source... Go to PubMed...
  4. Kleinschmid-Demasters BK. Bone marrow metastases from glioblastoma multiforme. Cum Pathol 1997; 27: 197-202. Go to original source...
  5. Hoffmann M, Heinrich D, Dingeldein D et al. Medulloblastoma with osteoblastic metastasis and bone marrow fibrosis. Bone Marrow Transplant 1999; 23: 631. Go to PubMed...
  6. Suprun H, Ryvlin AM. Metastatic carcinoma in histologic sections of aspirated bone marrow: a comparative autopsy study. South Med J 1976; 69: 438-439. Go to original source... Go to PubMed...
  7. Savage RA, Hoffman GC, Shaker K. Diagnostic problems involved in detection of metastatic neoplasms by bone marrow aspirate compared with needel biopsy. Am J Clin Pathol 1978; 70: 623-627. Go to original source... Go to PubMed...
  8. Singh G, Krause JR, Breitfeld V. Bone marrow examination for metasatatic tumour. Cancer 1977; 40: 2317-2321. Go to original source...
  9. Cheung NKV, Heller G, Kushner BH et al. Detection of metastatic neuroblastoma in bone marrow: when is routine marrow histology insensitive? J Clin Oncol 1997; 15: 2807-217. Go to original source... Go to PubMed...
  10. Mufti GJ, Flandrin G, Schaefer HE et al. Atlas of malignant haematology London: Martin Dunitz Ltd. Reprint 1997; 356, 366-368.
  11. Toretzky JA, Kalebic T, Blahasley V et al. The insulin like growth factor-1 receptor is required for EWS/FLI-1 transformation o fibroblasts. J Biol Chem 1997; 272: 30822-30827. Go to original source... Go to PubMed...
  12. Franklin IM, Pritchard J. Detection of bone marrow invasion by neuroblastoma is improved by sampling at two sites with aspirates and biopsies. J Clin Pathol 1983; 36: 1215-1218. Go to original source... Go to PubMed...
  13. Reid MM. Detection of bone marrow infiltration by neuroblastoma in clinical practice: how far have we come? Eur J Cancer A Gen Top 1994; 30: 134-135. Go to original source... Go to PubMed...
  14. Kačírková P, Campr V. Hematologický atlas krve a kostní dřeně. Praha: Grada 2007; 251-252.
  15. Giangaspero F, Bigner SH, Kleihues P et al. Medulloblastoma. In: Kleihues P, Cavenee WK World Health Organisation Classification of Tumours. Pathology & Genetics Tumours of the Nervous System. Oxord University Press, IARC Press, Lyon 2000; 6-7, 129, 141, 153.
  16. Reid MM, Saunders PWG, Bown N et al. Alveolar rhabdomyosarcoma infiltrating bone marrow at presentation: the value to diagnosis of bone marrow trephine biopsy specimens. J Clin Pathol 1992; 45: 759-762. Go to original source... Go to PubMed...
  17. Rogers DW, Treleavan JG, Kemshead JT et al. Monoclonal antibodies for detecting bone marrow invasion by neuroblastoma. J Clin Pathol 1989; 42: 422-426. Go to original source... Go to PubMed...
  18. Carey PJ, Thomas I, Buckle G et al. Immunocytochemical examination of bone marrow in disseminated neuroblastoma. J Clin Pathol 1999; 43: 9-12. Go to original source... Go to PubMed...
  19. Salisbury J, Byers P. The staging of neoplasia. In: Salisbury J, Woods C, Byers P (eds). Diseases of Bones and Joints: Cell Biology, Mechanisms, Pathology. London: Chapmann and Hall 1994.
  20. Collins RD, Swerdlow SH. Pediatric Hematopathology. New York, Edinburgh, London, Philadelphia: Churchill Livingstone 2001; 18, 162.




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