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Intermediate Technical IVT

hypercellular bone marrow

Pronunciation: HIGH-per-sell-you-lar bone marrow

Bone marrow with increased cellularity above normal age-adjusted ranges, indicating active hematopoiesis or infiltrative disease.

Full Definition

Hypercellular bone marrow describes increased cellular density compared to normal age-adjusted ranges, typically with cellularity exceeding 70-80% in adults. This finding can result from increased hematopoietic activity due to peripheral destruction of blood cells, hematologic malignancies, or recovery from chemotherapy. Assessment of cellularity is crucial in bone marrow evaluation and helps distinguish between various causes of cytopenias. The pattern of hypercellularity and which cell lines are increased provides diagnostic clues about underlying disorders.

Usage

Usage note: Cellularity percentages should be provided when available to support the assessment.

In Context

  • "Bone marrow biopsy demonstrated hypercellular bone marrow with 90% cellularity." — Pathology report
  • "The hypercellular bone marrow suggested active disease rather than treatment-related suppression." — Clinical interpretation

Also known as

increased bone marrow cellularity

Contrasted with

hypocellular bone marrow aplastic bone marrow

Don't confuse with

normal cellularity fibrotic bone marrow

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