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Bone Marrow Biopsy

Definition

A bone marrow biopsy is the removal of a sample of bone marrow for testing. The procedure is most often done on the pelvic bone. It may also be done on the sternum.
Bone Marrow Biopsy
Bone biopsy
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Reasons for Procedure

A bone marrow biopsy may be done to:

Possible Complications

Complications are rare, but no procedure is completely free of risk. If you are planning to have this procedure, your doctor will review a list of possible complications which may include:
Some risk factors for complications during this procedure include:

What to Expect

Prior to Procedure

Your doctor may do a physical exam and blood tests.
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
  • Anti-inflammatory drugs
  • Blood thinners
  • Anti-platelet medications

Anesthesia

Local anesthesia will be used. It will numb the area.

Description of Procedure

You may be given a light sedative. It will help you relax. The biopsy area will be cleaned and numbed.
A hollow biopsy needle will be inserted into the bone. The needle will be twisted and moved forward. This motion will allow a sample of bone marrow to enter the core of the needle. A fair amount or pressure may be used. The needle may need to be rocked. The needle will then be removed. The bone marrow sample will be inside the needle. Pressure will be applied to the puncture area. A bandage will be applied.

Immediately After Procedure

The bone marrow specimen will be examined by a pathologist. Ask your doctor when you can expect the results.

How Long Will It Take?

About 30 minutes.

Will It Hurt?

The injection of anesthesia may sting or burn. You may notice a feeling of pressure and pain when the biopsy needle is rocked. After the biopsy is done, you may feel soreness in the area for a few hours.

Post-procedure Care

At Home
You should be able to resume your normal activities after your biopsy. If you have had a sedative, avoid driving or operating equipment until the effects of the medicine have worn off.
Follow all of your doctor's instructions .

Call Your Doctor

After you are home, contact your doctor if any of the following occur:
In case of an emergency, call for medical help right away.

RESOURCES

The Leukemia and Lymphoma Society http://www.lls.org

National Cancer Institute http://www.cancer.gov

CANADIAN RESOURCES

BC Cancer Agency http://www.bccancer.bc.ca

Cancer Centre of Southeastern Ontario http://www.krcc.on.ca

References

Bone marrow biopsy. Harvard Medical School website. Available at: http://www.health.harvard.edu/diagnostic-tests/bone-marrow-biopsy.htm . Accessed June 27, 2013.

Bone marrow biopsy. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/test%5Fprocedures/orthopaedic/bone%5Fmarrow%5Fbiopsy%5F92,P07679/ . Accessed June 27, 2013.

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