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General and Systemic Histopathology, C601&C602
     
    Slide 49: Bone Marrow Hyperplasia
     
     

    Normally one sees about 50% fat and 50% hematopoietic bone marrow.  It's obvious just by looking at the scan to the left that this bone marrow is at least 80-90% cellular.  That's definitely hyperplastic.

    See this slide with the virtual microscope.

    The changes here may seem subtle, and it would be wise to look at normal bone marrow first, but this slide does show generalized hyperplasia of all hematopoietic elements. The key to seeing this is knowing how much bone marrow fat there normally is. Generally fat represents about 50% of the marrow space, at least in bones that are normally involved in hematopoiesis. The fat cells are generally distributed evenly throughout the marrow tissue. See if you can identify the expected red and white cell precursors. 


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