Hi doctor, I am writing to you regarding the health status of an elderly person. She is 85 years old and still in pretty good condition. Her current cardiological status rated to be very well with no diabetes or any other medical issues. But from last year she shows a myelodysplastic syndrome. A bone marrow biopsy was attempted a couple of weeks ago. Unfortunately, the material made available to the laboratory was of not adequate in quality and no result could be given. However, I read in the report that the material was of fibrino-leukocytic consistency and assuming that there is refractory anemia with excess blasts. Is the material of fibrino leucocytic nature possibly proving the suspected condition?
Hi.I have carefully worked through your case and want to assure you that proper care and expert opinion will be extended. Actually, when there is a hematology report which questions the quality of the biopsy specimen, we cannot just comment on the outcome of the test or to what should have had been there it was like that or the other way. The fibrino-leukocytic consistency just means that there were just a few leukocyte cells in the background matrix of fibers. I preferably suggest that this is a mistake in taking the proper specimen, or if the technique was fine then due to the replacement of the bone marrow with fibrous tissue to some extent causing anemia. My final suggestion is to repeat the diagnostic test and expert hands needed.