
Bone marrow is involved in large number of diseases which primarily are not diseases of the hemopoietic system. The bone marrow biopsy is an important investigation in the work up of patients with malignancies that have a propensity to involve bone marrow. The aim of the study was to observe the clinical presentation and hematological profile of patients with metastatic bone marrow tumors. This highlights the importance of performing bilateral bone marrow aspiration and trephine biopsy in such patients and significance of correlation of the aspirate and biopsy findings.