Multiple Myeloma: Need for incorporating Fine Needle Aspiration Cytology in Diagnostic Criteria

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

Multiple Myeloma: Need for incorporating Fine Needle Aspiration Cytology in Diagnostic Criteria

Anwar Ul Haque

Multiple myeloma is one of the common malig-nancies affecting elderlypatients. Bone is often involved. The osseous lesions are usually lytic and could be tender.The lesions are often palpa-ble. The non-palpable lesions could be located through eliciting tenderness and or through imag-ing. The bone becomes soft due to the pathology making multiple myeloma an ideal candidate for Fine Needle Aspiration Cytology (FNAC). Simple FNAC aspirates can make definite diagnosis very quickly in most cases rendering many other in-vestigations redundant. Not doing FNAC in this setting will be a major sin as it will mean unne-cessary tests, delays, expenses and discomforts to the patient and their beloved ones.1It is unfor-tunate that the FNAC has not been granted due place in diagnostic criteria of multiple myeloma.

         

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