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When is a bilateral bone marrow aspirate/biopsy indicated in the initial diagnosis of pediatric NHL patients?
The NCI PDQ on pediatric NHL (https://www.cancer.gov/types/lymphoma/hp/child-nhl-treatment-pdq#_764_toc) indicates that bone marrow biopsy and aspiration should be performed as part of the diagnostic evaluation in these patients, but would you forego a bilateral bone marrow aspirate/biopsy in a patient with a very small localized NHL?
Answer from: at Community Practice
Bilateral bone marrow biopsies and aspirated are not required for diagnostic evaluation of pediatric non-Hodgkin lymphoma.
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