Q. Can a leukemia patient have a normal CBC?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by Dr. Nithila A
Published on Sep 03, 2019 and last reviewed on: Sep 05, 2019

Hello doctor,

I am 36 years old. Will my CBC be normal if I have leukemia? For the past several months, I have been exhausted, had constant headaches, have bruises appearing without injury sometimes in strange places like my stomach, and have joint and bone pain. My dad has lymphoma, and my maternal grandmother died of blood cancer. Please help.

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology
#

Hello,

Welcome to icliniq.com.

Based on your query, my opinion it is as follows,

1. It is highly unlikely.

2. Bruises, if it is appearing, could be platelet or vascular disorder. As CBC (complete blood count) is normal, platelet disorder is ruled out. Vascular disorder, if present requires study.

3. If a lymphoma is suspected, need to look for any lymph nodes enlargement. If there are any swelling in the neck, or axillary region or in the inguinal region, then it requires biopsy or FNAC (fine needle aspiration cytology).

4. If there is a vascular disorder, injuries should usually start bruises if it is occurring, without any damage. Being a normal CBC, there is no leukemia. Lymphoma requires a search for lymph nodes. I hope it helps.

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