Bone marrow
is the soft, jelly-like tissue that is found in the
hollow centre of all large bones.
Bone marrow
contains stem cells. Stem cells produce red blood cells
that carry oxygen around the body, white blood cells
that fight infection, and platelets that help stop
bleeding.
All of these
blood cells are produced by the stem cells and released
into the blood stream through the veins and thin tissue
surrounding the bone. Without the bone marrow and stem
cells, blood cannot be produced and we cannot
survive.
If you have
an illness or condition that affects your bone marrow
(such as leukaemia), or requires treatment with
chemotherapy or radiotherapy, your bone marrow may be
damaged. This means that you may need a bone marrow
transplant. During a transplant, healthy bone marrow
will be introduced into your blood stream. If the
transplant is successful, the new bone marrow will begin
making healthy blood cells and you will start to get
better.
Autologous
transplant: Healthy bone marrow may be taken from your
body before you have chemotherapy or radiotherapy (this
is called 'bone marrow harvest') and put back into your
body when your treatment is complete. This is sometimes
called an autologous transplant, or 'high-dose treatment
and stem cell support'. Sometimes the bone marrow might
be cleaned or 'purged' of cancer cells before it is put
back.
Allogenic
transplant: Alternatively, you may have a transplant of
bone marrow from a donor; this is called an allogenic
transplant.
Stem cell
transplant: It is increasingly more common for stem
cells to be collected for transplant instead of the
whole bone marrow. This is called a stem cell
transplant. Stem cell transplants (also known as PBSC)
are similar to bone marrow transplants but an
anaesthetic is not necessary to collect the cells and
the blood counts usually recover
quicker.