Am I suffering from leukemia?

Question

Hi doctor,

My blood test shows lymphocytes at 60% where the normal range is 20% to 45%. I had immunophenotyping and the values are CD23 - 2.11%, CD19 - 0.30% and CD5 - 79.9%. What does it indicate? Am I a leukemia patient?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I would also like to know the total leukocyte count, platelets, and RBC (red blood cell) count. Have you had an ESR (erythrocyte sedimentation rate) done? Is this the only CBC (complete blood count) you have ever had? Are there any accompanying symptoms like fever, chills, or weight loss? Considering your symptoms and the CBC results, there is a possibility of leukemia or lymphoma. Another possibility is a Leukemoid reaction, which can occur during an acute infectious state. To provide you with accurate guidance, please share the complete CBC results and peripheral smear. It may be necessary to undergo a bone marrow biopsy. I highly recommend visiting a hematologist for further evaluation and management. Please provide the requested information and consult a healthcare professional promptly.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Thank you for uploading the report (attachment removed to protect patient identity).

I see that you have low absolute neutrophils, which can happen in leukemia and lymphoma. But the RBC and platelets are within normal limits, which are used to stage the disease.

Please be seen by a hematologist; I am still concerned that it might be lymphoma rather than leukemia since I do not see blast cells or atypical lymphocytes mentioned in the report.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.