White blood cell testing issues
Recent blood test results show a white blood cell count of 6,900 (normal range: 3,600-11,200), hemoglobin (HB) of 15.9 (normal range: 13.7-17), erythrocyte distribution width (EDW) of 13.0 (normal range: 11.7-15), platelet count of 260 (normal range: 130-400), mean corpuscular volume (MCV) of 90 (normal range: 80-97), mean corpuscular hemoglobin (MCH) of 31.4 (normal range: 27-33), mean corpuscular hemoglobin concentration (MCHC) of 34.9 (normal range: 33-35), neutrophils at 76.1% (normal range: 43.3-76.6), lymphocytes at 17% (normal range: 16-43.5), monocytes at 5.8% (normal range: 4.5-12.5), eosinophils at 0.6% (normal range: 0.6-7.9), and basophils at 0.5% (normal range: 0.2-1.4).
There are two lymph nodes in the posterior neck (consulted with a surgeon and observed for one year with no changes) and one lymph node in the groin (also consulted with a surgeon and observed for one year with no changes).
Recently, there has been gastrointestinal discomfort, and weight loss of 3-4 kg over the past two months (from 72 kg to 68 kg).
1.
The white blood cell count is close to both the lower and upper limits of the normal range.
Is this normal? Is it a sign of leukemia? Is follow-up necessary?
2.
The lymph nodes have not changed; can we rule out the possibility of lymphoma? There is accompanying weight loss and lymphadenopathy.
3.
If there are no changes, can we continue to observe, or does exceeding one year indicate that there will be no progression?
Kai, 30~39 year old female. Ask Date: 2022/12/20
Dr. Hu Ziren reply Oncology
The white blood cell count is within the normal range according to the instrument's interpretation, indicating that it is normal and does not require continuous monitoring.
The lymph nodes have shown no changes over the past year, suggesting a higher likelihood of being benign; therefore, observation is recommended.
Reply Date: 2022/12/20
More Info
When evaluating your recent blood test results and concerns regarding white blood cell (WBC) counts and lymph nodes, it's important to understand the context of these findings in relation to potential health issues, including cancer.
1. Understanding Your Blood Test Results: Your WBC count of 6900 is within the normal range (3600-11200), which is reassuring. The differential count shows that neutrophils are slightly elevated at 76.1%, while lymphocytes are at 17%. Both of these values are still within acceptable limits, albeit at the higher and lower ends, respectively. It's crucial to remember that fluctuations in these values can occur due to various factors, including stress, infections, or even physical activity prior to the test. The presence of a normal hemoglobin level (15.9) and platelets (260) further supports that there is no immediate indication of a hematological malignancy such as leukemia.
2. Lymph Node Concerns: The lymph nodes in your neck and groin that have been observed for a year without change are a positive sign. Generally, stable lymph nodes that do not increase in size or change in consistency over time are less likely to be associated with malignancy. However, the presence of weight loss (3-4 kg over two months) and gastrointestinal discomfort warrants further investigation. While stable lymph nodes can reduce the likelihood of lymphoma, they do not completely rule it out, especially in the context of unexplained systemic symptoms like weight loss.
3. Monitoring and Follow-Up: The recommendation for monitoring your lymph nodes is prudent. While many lymph nodes can remain stable for years without becoming cancerous, any new symptoms or changes in your health status should prompt a reevaluation. If your lymph nodes remain unchanged for another year, it may be reasonable to continue observation, but this should be done in consultation with your healthcare provider. Regular check-ups and possibly imaging studies (like ultrasound) can help ensure that any changes are detected early.
4. Weight Loss and Gastrointestinal Symptoms: The weight loss and gastrointestinal discomfort you are experiencing could be related to a variety of factors, including stress, dietary changes, or even gastrointestinal disorders. It is essential to discuss these symptoms with your healthcare provider, as they may require further evaluation, such as imaging studies or gastrointestinal assessments.
5. When to Seek Further Evaluation: If you experience additional symptoms such as night sweats, persistent fatigue, or any new lumps or changes in your lymph nodes, it is crucial to seek medical attention promptly. These could be signs of a more serious condition that warrants further investigation.
In summary, while your blood test results appear largely normal, the combination of stable lymph nodes and recent weight loss should be monitored closely. Regular follow-ups with your healthcare provider are essential to ensure any changes in your health are addressed promptly. Always communicate any new or worsening symptoms to your doctor, as they can provide the best guidance tailored to your specific situation.
Similar Q&A
Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Last week, I visited a gastroenterologist due to gastrointestinal discomfort. After undergoing an endoscopy, no abnormalities were found, only mild gastritis. I also asked the gastroenterologist to refer me to an ENT specialist to examine the lymph nodes in my jaw. After the exam...
Dr. Lai Yicheng reply Oncology
Mr. Zhao: Thank you for your inquiry. Here are the responses: 1. Since each individual's constitution is different, it is indeed possible. If you are concerned about anesthesia leading to low white blood cell counts, please discuss with your physician whether a re-evaluation...[Read More] Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my situation requires further examination. Examination data: I...
Dr. Chen Yunfang reply Oncology
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Understanding Lymph Nodes: Concerns About Tumors and Treatment Options
Hello, doctor. A month ago, I noticed pus below my left wisdom tooth and found two lymph nodes under my chin—one painful and one not. I visited a dental clinic, and the doctor prescribed a 3-day course of antibiotics. The pain in the lymph node subsided, but it still remained. Ou...
Dr. Fan Sheng reply Oncology
Hello: Based on your symptom description, since the antibiotic treatment has been effective, it is likely that you have lymphadenitis rather than cancer. Please rest assured. However, the source of infection may sometimes be related to dental caries, so it is important to careful...[Read More] Understanding Lymph Nodes: Concerns About Tumors and Treatment Options
Understanding Low Lymphocyte Count and High Neutrophil Levels
Hello, two weeks ago I had a self-paid health check-up, and there are two results that I am particularly concerned about. My lymphocyte count is low at 16% (normal range is 20-45%), and my neutrophil count is slightly elevated at 75% (normal range is 45-75%). The reason I went fo...
Dr. Liao Zhongxin reply Internal Medicine
Dear readers: Regarding the V-shaped lymph nodes on both sides of the mandible, the response is as follows: A: 1. You may refer to a PDF document, attached. 2. If you still have questions, you can consult and seek treatment at a medical facility with an otolaryngology or family m...[Read More] Understanding Low Lymphocyte Count and High Neutrophil Levels
Related FAQ
(Oncology)
White Blood Cells(Oncology)
Lymphadenopathy(Oncology)
Lymph(Oncology)
Leukemia(Oncology)
Inguinal Lymphadenopathy(Oncology)
Blood(Oncology)
Neck(Oncology)
Purpura(Oncology)
Thrombocytosis(Oncology)