Henry Turkel, M.D.
AMA Arch Surg. 1956;73(1):183-184. doi:10.1001/archsurg.1956.01280010185025.
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ARINKIN in 1927 described a method of diagnoses of hematopoietic diseases by needle aspiration.1 His method of examination of sternal marrow particles and aspirating material has since become a valuable procedure in the diagnoses and treatment of other types of diseases. For many of these diseases it is the only positive means of diagnoses.2

The comparatively simple procedure of sternal puncture is normally without danger to the patient. However, when some undetermined pathological condition of the sternum is present, such as a softening of the inner or both plates of the sternum, due to neoplastic or other disease, a plain needle used for sternal aspiration may be forced through the inner plate into the heart and large blood vessels. Fatalities have resulted from the unknown pathological condition of the inner plate of the sternum when a simple needle was used, but only a few of these fatalities have


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