Dr. Goswami Parth Rajendragiri
Pathology
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Patient's Query
Hello doctor,
Should I think about going to a hematologist? The last few years of my CBC shows WBC 8.4, 9.6, 13.9, 11.3, 11.3, 10.5, 8.3, 12.3, lymph (abs) 3.2, 4.4, 3.9, 4.0, 3.8, 3.6, 3.9, platelets 331, 400, 380, 453, 428, 407, 459, 389, neutrophils (abs) 5.8, 8.5, 6.3, 6.4, 5.8, 3.9, 7.6, eosinophils (abs) have all been .1 or .2. I am an active 50-year-old female, 156 lbs, with hypothyroidism 175 (since past nine years, Levothyroxine MCG), Genetic high cholesterol (since I was 18 years old), cholesterol total 257, tri 273, HDL 80, LDL 135. Just started on Atorvastatin 20 mg. I am starting to get concerned that I am in the early stages of CLL. Should I request to be sent to a hematologist?
Hello,
Welcome to icliniq.com.
I do not find any significant abnormality in the report. At one stage your lymphocytes were high that is 4.4. But it fluctuates as per reports and not raised to more than 4.5 at any time (attachment removed to protect patient identity). If absolute lymphocytes remain persistent high greater than 4.5, then CLL can be ruled out by flow cytometry investigation. You can consult a hematologist for your detailed physical examination.
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Pathology
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