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Introduction: Bone marrow examination becomes a crucial test in diagnosis of both hematological and nonhematological malignancies, when the routine peripheral blood and other laboratory tests are not conclusiveof a diagnosis.Aim: The aim of this study was to find the indications of bone marrow and to assess the diagnostic value.Materials and Methods: A total of 160 cases were analyzed retrospectively from January 2016 toDecember 2017. All the bone marrows received at the laboratory were included in the study.Result: The youngest patient was 2 years old and the oldest 80 years. Amongst 160 cases 89(55.62%) were male and 71 (44.37%) were female. M: F ratio is 1.25:1. Leucocytosis was the mostcommon indication of bone marrow examination followed by bicytopenia and pancytopenia. Acuteleukemia was the most frequented diagnosis (13.12%) followed by idiopathic thrombocytopenic purpura(11.25%), myeloproliferative diseases (8.12%) and myeloma (8.12%). Few of the rare diagnosis includedhemophagocytic syndrome, hypersplenism and aplastic anemia.Conclusion: The study concludes the bone marrow examination is crucial and important in reaching adiagnosis in most of the cryptic cases of cytopenias and unexplained leucocytosis.Keywords: Bone marrow examination, Cytopenia, Leukemia

Retrospective analysis of the bone marrow received at a tertiary care hospital- A study of 160 cases