High White Blood Cell Count: Is It Blood Cancer? - Cardiology

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Elevated white blood cell count?


Dear Doctor,
My mother is 72 years old and her health has not been very good this past week.
She has been feeling lethargic and wanting to sleep all the time, which has made us very worried.
Today, we finally convinced her to go to the hospital for a check-up.
Blood tests were conducted, and the results showed elevated white blood cell counts: the first test showed 171,000, and the second test, which was done immediately after the first report came out, showed 164,000.

I would like to ask the following questions:
1.
With such high white blood cell counts, can we definitively conclude that it is leukemia, or could there be other possibilities? For example, could it be a lab error or caused by other medical conditions?
2.
If it is indeed leukemia, aside from undergoing treatment, what should we be mindful of in daily life? Besides maintaining a balanced diet, are there specific foods or health supplements that you know of that could be beneficial for leukemia patients? What should we consider increasing in her diet?
3.
Is leukemia truly an incurable disease? What is the average life expectancy for someone diagnosed with it?
I apologize for the many questions and any inconvenience they may cause you.
Thank you for your understanding.
Wishing you good health and all the best.
Thank you.

Danxin de ren, 40~49 year old female. Ask Date: 2005/02/17

Dr. Zhong Yuxun reply Cardiology


Hello: Regarding your inquiry about elevated white blood cell counts and other related issues, please consult the Hematology-Oncology department for diagnosis and treatment.
Dr.
Chung Yu-Hsuan.

Reply Date: 2005/02/17

More Info


High white blood cell (WBC) counts can indeed be concerning, especially when they are significantly elevated, as in the case of your mother, whose counts were reported at 171,000 and then 164,000. However, it is important to understand that a high WBC count does not automatically indicate blood cancer, such as leukemia. There are various potential causes for elevated WBC counts, including infections, inflammation, stress, and other medical conditions. In some cases, laboratory errors can also occur, leading to inaccurate results. Therefore, it is crucial to conduct further evaluations and possibly repeat tests to confirm the findings.

1. Is a high WBC count an absolute indicator of blood cancer?
No, a high WBC count alone is not definitive for diagnosing blood cancer. While certain types of leukemia can present with elevated WBC counts, other conditions can also cause similar results. For example, infections (viral or bacterial), autoimmune diseases, and even physical stress can lead to increased WBC counts. It is essential to consider the complete clinical picture, including symptoms, physical examination findings, and additional laboratory tests. A hematologist or an oncologist would be best suited to evaluate these results in the context of your mother’s overall health.

2. If it is blood cancer, what should be done?
If a diagnosis of blood cancer is confirmed, treatment options may include chemotherapy, targeted therapy, or stem cell transplantation, depending on the specific type of cancer and its stage. In terms of lifestyle and dietary considerations, while there is no specific diet that can cure cancer, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health. Some studies suggest that antioxidants found in fruits and vegetables may help in managing cancer-related symptoms and improving quality of life. Foods rich in omega-3 fatty acids, such as fatty fish, walnuts, and flaxseeds, may also have anti-inflammatory properties. It is advisable to consult with a nutritionist who specializes in oncology to create a tailored dietary plan.

3. Is blood cancer truly an incurable disease?
The prognosis for blood cancers varies widely depending on the specific type of cancer, its stage at diagnosis, and the patient’s overall health. Some forms of blood cancer, such as certain types of leukemia, can be treated successfully, leading to remission. Others may be more challenging to treat. Advances in medical research and treatment options have significantly improved outcomes for many patients. It is essential to have open discussions with healthcare providers about prognosis, treatment options, and what to expect moving forward.

In summary, while a high WBC count is a signal that warrants further investigation, it is not an automatic diagnosis of blood cancer. It is crucial to work closely with healthcare professionals to determine the underlying cause and appropriate next steps. Regular follow-ups, monitoring symptoms, and maintaining a healthy lifestyle can all contribute positively to your mother’s health journey. If there are any additional concerns or symptoms, do not hesitate to seek medical advice promptly.

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