Comprehensive evaluation of the results of bone marrow biopsy in our geriatric clinic: diagnosis, presentation and mortality

Year 2018, Volume: 8 Issue: 2, 122 - 127, 17.05.2018

Hande Selvi Öztorun , Tuğba Turgut , Deniz Mut Sürmeli Remzi Bahşi , Bilge Gözükara Murat Varlı , Sevgi Aras

https://doi.org/10.16899/gopctd.358557

Abstract

With aging, the frequency of hematologic diseases is increasing. Bone
marrow biopsy is a procedure that allows diagnosis of many diseases affecting
bone marrow. In this study, the most common hematologic pathologies and their
presentation, functional and mortality effects were identified in our patient
group. It was seen that the biopsy results were compatible with the preliminary
diagnoses made by considering the presentation and laboratory values of the
patients. In the areas of malignancy diagnosis, survival times were found to be
long. Considering the existence of comorbid diseases in the elderly, the
performance of the patient, and the benefit of treatment after diagnosis, bone
marrow biopsy should be performed indefinitely and should not be avoided due to
age.

Keywords

bone marrow biopsy, elderly, comprehensive geriatric assessment, life span

Geriatri Kliniğimizde Yapılan Kemik İliği Biyopsi Sonuçlarının Çok Yönlü Değerlendirilmesi: Tanı, Prezentasyon ve Mortalite

Abstract

ÖZET:
Yaşlanma
ile birlikte hematolojik hastalıkların sıklığı artmaktadır. Kemik iliği biyopsisi,
kemik iliğini etkileyen pek çok hastalığın tanı almasını sağlayan bir işlemdir.
Bu çalışmamızda kendi hasta grubumuzda en sık görülen hematolojik patolojilerin
ve prezentasyonlarının belirlenmesi; bunların fonksiyonelliğe ve mortaliteye
etkilerinin incelenmesi amaçlandı. Hastaların prezentasyon ve laboratuar
değerleri göz önüne alınarak yapılan ön tanılar ile biyopsi sonuçlarının uyumlu
olduğu görüldü. Malignite tanısı alanlarda, sağ kalım sürelerinin uzun olduğu
görülmüştür. ÇYGD (çok yönlü geriatrik değerlendirme) testlerinde özellikle
yürüme hızı ile ilişkili olduğu tespit edilmiştir. Yaşlıda komorbid
hastalıkların varlığı, hastanın performansı, tanı konduktan sonra verilecek
tedaviden fayda görebilme durumu göz önünde bulundurularak  endikasyon dahilinde kemik iliği biyopsisi mutlaka
yapılmalı, yaştan dolayı kaçınılmamalıdır.

ABSTRACT: With aging, the frequency of hematologic
diseases is increasing. Bone marrow biopsy is a procedure that allows diagnosis
of many diseases affecting bone marrow. In this study, the most common
hematologic pathologies and their presentation, functional and mortality
effects were identified in our patient group. It was seen that the biopsy
results were compatible with the preliminary diagnoses made by considering the
presentation and laboratory values of the patients. In the areas of malignancy
diagnosis, survival times were found to be long. Considering the existence of comorbid
diseases in the elderly, the performance of the patient, and the benefit of
treatment after diagnosis, bone marrow biopsy should be performed indefinitely
and should not be avoided due to age.

Keywords

kemik iliği biyopsisi, yaşlı, kapsamlı geriatrik değerlendirme

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