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Bone Marrow Biopsy

WHAT YOU SHOULD KNOW

For a bone marrow biopsy (BYE-op-see), your doctor will remove a sample of your bone marrow, the substance inside your bones that manufactures most blood cells, and send it to a laboratory for testing.

Risks

There's a chance of infection when the sample is taken. There is also a very small chance that an organ could be hurt during the procedure.

IF YOU'RE HEADING FOR THE HOSPITAL...

Before You Go

  • Tell your doctor if you are taking aspirin or a medicine to thin your blood.
  • Tell your doctor if you have had surgery on your heart.
  • Your doctor may want you to stop eating several hours before the biopsy.

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • During the Bone Marrow Biopsy...
    • You will lie on your stomach or back with a sheet covering you. The biopsy is usually taken from the hip bone, but could be taken from your breastbone (sternum) or a leg bone.
    • You will be asked not to move. Your doctor will give you numbing medicine, so you will feel little pain. The area where the biopsy is to be taken will be cleaned.
    • Your doctor will advance a needle through your tissue and bone and into the marrow. You may feel pressure while the needle is passing into bone. A sample of the marrow will be taken.
    • To stop the bleeding after the needle is removed, your doctor will apply pressure. A bandage will be put on the area to keep it clean. You may be asked to rest for a short period after the biopsy is done.
    • The procedure will take about 30 to 45 minutes.

After You Leave

  • Your doctor may prescribe medicine to ease any pain.
  • Keep the area dry for 24 hours. When you shower or bathe, place a waterproof material, such as plastic, over the wound site.
  • For the first 24 hours, apply an ice pack to the area to reduce pain and swelling. Put ice in a plastic bag and place a towel between the bag of ice and your skin or the bandage. Keep the ice pack on for 2 hours, then off for up to 2 hours.

Call Your Doctor If...

  • You have severe pain in the area of the biopsy for more than 24 hours.
  • You have any bleeding other than a small spot on the dressing.

Seek Care Immediately If...

  • Your temperature goes higher than 101 degrees F (38.3 degrees C).



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