Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis

Background: Bone marrow metastasis is an uncommon yet significant presentation of many non haematological malignancies. Aims: The present study was conducted with the aim of analysing the clinical, haematological and biochemical parameters of the patients with bone marrow metastases and determines t...

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Main Authors: Shruti Agrawal, Rekha Bhandari, Vinay N Gowda, Amit Gupta, Neha Singh, Nilotpal Chowdhury, Shalinee Rao, Sanjeev Kishore, Arvind Kumar Gupta, Harish Chandra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Medical Evidence
Subjects:
Online Access:http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=2;spage=123;epage=129;aulast=Agrawal
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author Shruti Agrawal
Rekha Bhandari
Vinay N Gowda
Amit Gupta
Neha Singh
Nilotpal Chowdhury
Shalinee Rao
Sanjeev Kishore
Arvind Kumar Gupta
Harish Chandra
author_facet Shruti Agrawal
Rekha Bhandari
Vinay N Gowda
Amit Gupta
Neha Singh
Nilotpal Chowdhury
Shalinee Rao
Sanjeev Kishore
Arvind Kumar Gupta
Harish Chandra
author_sort Shruti Agrawal
collection DOAJ
description Background: Bone marrow metastasis is an uncommon yet significant presentation of many non haematological malignancies. Aims: The present study was conducted with the aim of analysing the clinical, haematological and biochemical parameters of the patients with bone marrow metastases and determines the parameters which could possibly indicate the presence of bone marrow metastases. Patients and Methods: Bone marrow aspirate, imprint and biopsy slides of 22 cases with bone marrow metastases were reviewed and the haematological and biochemical data of all these cases were compared with that of 20 controls without any evidence of metastases. Results: The mean values of mean platelet volume (MPV), neutrophil to lymphocyte ratio (NLR) and serum lactate dehydrogenase (LDH) were found to be significantly different (P < 0.001) between the cases and controls. MPV <8.1 fL, NLR >3.5 and LDH >452 U/L showed a high likelihood ratio in predicting bone marrow metastases. Conclusion: Parameters such as MPV, NLR and LDH can be used as efficient and easily available methods to predict bone marrow metastasis for a rapid diagnosis.
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spelling doaj.art-7452eeeb1d244ca98848f65eb881e0ed2022-12-22T01:50:00ZengWolters Kluwer Medknow PublicationsJournal of Medical Evidence2667-07202667-07392022-01-013212312910.4103/JME.JME_129_20Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysisShruti AgrawalRekha BhandariVinay N GowdaAmit GuptaNeha SinghNilotpal ChowdhuryShalinee RaoSanjeev KishoreArvind Kumar GuptaHarish ChandraBackground: Bone marrow metastasis is an uncommon yet significant presentation of many non haematological malignancies. Aims: The present study was conducted with the aim of analysing the clinical, haematological and biochemical parameters of the patients with bone marrow metastases and determines the parameters which could possibly indicate the presence of bone marrow metastases. Patients and Methods: Bone marrow aspirate, imprint and biopsy slides of 22 cases with bone marrow metastases were reviewed and the haematological and biochemical data of all these cases were compared with that of 20 controls without any evidence of metastases. Results: The mean values of mean platelet volume (MPV), neutrophil to lymphocyte ratio (NLR) and serum lactate dehydrogenase (LDH) were found to be significantly different (P < 0.001) between the cases and controls. MPV <8.1 fL, NLR >3.5 and LDH >452 U/L showed a high likelihood ratio in predicting bone marrow metastases. Conclusion: Parameters such as MPV, NLR and LDH can be used as efficient and easily available methods to predict bone marrow metastasis for a rapid diagnosis.http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=2;spage=123;epage=129;aulast=Agrawalbone marrowlactate dehydrogenasemean platelet volumemetastasesneutrophil to lymphocyte ratio
spellingShingle Shruti Agrawal
Rekha Bhandari
Vinay N Gowda
Amit Gupta
Neha Singh
Nilotpal Chowdhury
Shalinee Rao
Sanjeev Kishore
Arvind Kumar Gupta
Harish Chandra
Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
Journal of Medical Evidence
bone marrow
lactate dehydrogenase
mean platelet volume
metastases
neutrophil to lymphocyte ratio
title Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
title_full Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
title_fullStr Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
title_full_unstemmed Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
title_short Haematological and biochemical predictors of bone marrow metastases in non-haematological malignancies: A clinico-pathological analysis
title_sort haematological and biochemical predictors of bone marrow metastases in non haematological malignancies a clinico pathological analysis
topic bone marrow
lactate dehydrogenase
mean platelet volume
metastases
neutrophil to lymphocyte ratio
url http://www.journaljme.org/article.asp?issn=2667-0720;year=2022;volume=3;issue=2;spage=123;epage=129;aulast=Agrawal
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AT amitgupta haematologicalandbiochemicalpredictorsofbonemarrowmetastasesinnonhaematologicalmalignanciesaclinicopathologicalanalysis
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AT arvindkumargupta haematologicalandbiochemicalpredictorsofbonemarrowmetastasesinnonhaematologicalmalignanciesaclinicopathologicalanalysis
AT harishchandra haematologicalandbiochemicalpredictorsofbonemarrowmetastasesinnonhaematologicalmalignanciesaclinicopathologicalanalysis