Bone Marrow Fibrosis (BMF): A New Proposal for Grading System

Authors

  • Birgees Mazhar Kazi National Institute of Health, Islamabad
  • Faiza Kazi Foundation Medical College
  • Masood Anwar Armed Forces Institute of Pathology

Keywords:

Bone Marrow Fibrosis, Grading System, Fibrous Tissue Content

Abstract

Semi-quantitative evaluation of Bone Marrow Fibrosis (BMF) in trephine biopsies is important in laboratory workup of many
haematological lesions. Various grading systems for the study of patterns and extent of Fibrous Tissue Content (FTC) have
been used previously. In this paper, a new grading system for FTC has been proposed and studied in trephine biopsies of 160
cases of various haematological lesions. BMF was observed in 59% of cases. The grading system applied in this study was
found quite comprehensive, and it was easy to segregate BMF into various grades with the help of this system. Grade 1
fibrosis was the commonest (35.1%), followed by Grade 2 (28.7%), Grade 3 (24.5%) and Grade 4 (11.5%), respectively. Van
Giesen’s trichrome stain was found useful for demonstration of collagen in Grade 4 fibrosis.

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Published

2018-10-23

Issue

Section

Original article

How to Cite

1.
Kazi BM, Kazi F, Anwar M. Bone Marrow Fibrosis (BMF): A New Proposal for Grading System. Int J Pathol [Internet]. 2018 Oct. 23 [cited 2024 Nov. 23];:25-31. Available from: https://jpathology.com/index.php/OJS/article/view/7