Bone Marrow Biopsy in India: What Every International Patient Should know

Bone marrow biopsy in India

Bone marrow biopsy is a test conducted to remove specimen of the bone marrow with the help of hollow needle that is used to study your blood cells which are produced in the spongy substance that is found in your bones. It is usually ordered to diagnose or follow up with blood and marrow type of illness, including cancers (leukemia or lymphoma), anemias, or infections, or symptoms with very high fevers.

Why is Bone Marrow Biopsy conducted?

A bone marrow biopsy may be suggested by a doctor in order to:

• Diagnosis of blood diseases (e.g. leukemia, anemia, multiple myeloma)
• Check the advancement of a blood disease
• Response to therapy (such as chemotherapy) should be evaluated
• Explore unusual low and elevated blood cell counts    

There are two types of Bone Marrow Tests:

• Bone Marrow Aspiration -Takes out some liquid marrow.
• Bone Marrow Biopsy - A bit of solid tissue is removed.

These can be also done simultaneously and are generally carried out on the hip bone (posterior iliac crest).

Procedure Overview

• Setting: Outpatient or hospital based procedure
• Length: Roughly 30 mins to 1 hour
• Anaesthesia: Local and sensory anaesthesia-numbs the area. Sedation can be administered when there is a need.

Steps:

• You are sitting up on your side or stomach.
• The site is washed up and is rendered numb.
• A marrow sample is taken by inserting special needle into the bone.
• To prevent bleeding, pressure is exerted; the sites are dressed.

Factors Affecting Bone marrow aspiration and biopsy cost India

The following is a detailed description of influencing factors of bone marrow aspiration and biopsy cost in India according to the most current information:

Type of Hospital & Location

• The price is higher in the case of private hospitals, particularly in metro cities, such as Delhi, Mumbai, Bangalore 
• Less resourceful labs or smaller towns may provide low rates

Procedure Complexity

• The cost differs with simple aspiration, full biopsy/trephine and either separately or in combination with imaging (e.g. CT-guided) or more advanced molecular tests such as cytogenetics or flow cytometry.
• The more complicated the processes, the more the costs because of specialized equipment and techniques

Pathology / Lab Testing

• The additional cost comes with histopathology, immunohistochemistry, and molecular or genetic tests, as well as advanced staining to a great extent 
• The simple routine analysis cost is low while sophisticated testing could result in significant billing.

Quality of Service, Doctor Expertise

• Older and professional hematologists/ specialists tend to give high charges- but are better in accuracy and interpretation of results 
• Reputed labs which have maintained NABL/NABH accreditation are expensive but you can place your reliance on those 

Anaesthesia & Sedation

• The ordinary local anaesthesia takes place regularly, but IV sedation or deeper anaesthesia is costlier 

After-Procedure Instructions & Medications

• Costs could involve follow up visits, wound treatment, pain killing drugs and monitoring and observations of any kind.

Best hospitals for bone marrow biopsy in India

Bone marrow biopsy center in India:

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Bone marrow biopsy specialist India

• Dr. Gaurav Dixit
• Dr. Nitin Sood
• Dr. Rahul Bhargava
• Dr. Rayaz Ahmed

Bone marrow biopsy treatment in India GetWellGo

Bone marrow biopsy is not a procedure aimed at treating various conditions rather than a diagnostic tool employed to determine the status of your bone marrow when the physicians suspect disorders linked to blood generation, immunity or malignancies. Yet, the outcomes of bone marrow biopsy are used to form treatment regimens of different conditions. This is a complete breakdown:

Which Conditions is a Bone Marrow Biopsy used to Diagnose?

• Blood cancers
• Leukemia
• Lymphoma
• Multiple myeloma
• Myelodysplastic syndromes (MDS)
• Anemia (noncancerous non-cancer blood conditions)
• Aplastic anemia
• Thrombocytopenia
• Pancytopenia
• Anemia (unclear cases) Megaloblastic or iron-deficiency
• Infections or unexplained fevers
• Tuberculosis, fungus-invasion of marrow
• Metastatic cancer (e.g., breast or prostate)
• Fibrosis of the bone marrow or bone marrow infiltration

Bone Marrow Biopsy Procedure

• Place of procedure: Outpatient hospital/clinic
• Frequent location: Base of the back of the hip bone (posterior iliac crest)
• Completion time: 30-60 min.

Steps:

• It is cleaned and anesthetized (local anaesthesia) in the area.
• It involves insertion of a special needle into the bone to remove marrow (aspiration and core biopsy).
• Examples to be submitted to pathology/lab to be tested.

Post-Biopsy Analysis

Laboratory tests can contain:

• Microscopic examination
• Oligoproficiencyc hammered out the problem in cytogenetics (study of the chromosome) again and again, but it ran by leaps and bounds.
• Flow cytometry
• Immunohistochemistry
• Molecular test (e.g. BCR-ABL, JAK2 mutation)

After Biopsy (Treatment Guidance)

Treatment is dependent on the cause of condition identified through the biopsy. Some Treatment That Are Dependent on the Results of a Biopsy:

• Leukemia: chemotherapy, targeted therapy, bone marrow transplant
• Lymphoma: Tx, immunotherapy, radiotherapy
• Aplastic anemia: Immunosuppressive Therapy, Bone marrow transplant
• Multiple myeloma: Chemo, steroids, proteasome inhibitors
• Iron-deficiency anemia: Iron supplementation, correction of the diet
• Myelodysplastic syndrome: JMYM FACT, G-CSF, Stem cell transplant
• Infections (e.g. TB): Anti-tubercular or antifungal treatment

Affordable bone marrow biopsy India with GetWellGo

Taking advantage of the services of GetWellGo, the following aspects can contribute to the reduction of the cost of bone marrow biopsy:

Facility selection & site selection

• Government / Charitable hospitals are known to be less expensive. By contrast, metropolitan cities (Delhi, Mumbai, Bengaluru) have higher rates in private hospitals that have the capability of providing highly advanced services.

Procedure Complexity

• Less advanced biopsies (i.e. basic procedure) are cheaper than advanced imaging (CT-guided), molecular analysis (flow cytometry), specialized test.

Pathology Fees Testing in the Lab

• Basic histopathology is cheaper; molecular diagnostic tests or genetic testing increases the expenses.

Accreditation & Expertise of the Doctor

• Highly experienced specialist can-be more expensive, yet results at approved labs/hospitals (e.g., NABL, NABH) can be safer and more reliable.

Anaesthesia & Aftercare

• The local anaesthesia is the default, whereas sedation and extended post-procedure services make it more expensive.

Bundled Packages

• There are numerous hospitals, where biopsy, lab services, and consultation are provided in packages. These packages tend to be economical than paying per-part.

Why Choose GetWellGo for Bone Marrow Biopsy?

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for Bone Marrow Biopsy.
• Expert oncologists with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food