Could This Be Myeloma?

Posted on Wed, 5 Aug 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 5 Aug 2020 Answered on

Tue, 5 Aug 2025 Last reviewed on

Question : Could this be myeloma?
XXXXXXX lab results below. LAst 2 results were 2.5 then 2.0 on 8/3.

NEUTROPHILS % MAN CNT
3/20/2018 11
10/16/2018 37
6/13/2020 20.3

BAND'S % MAN CNT 0.0 - 10.0 %
3/20/2018
10/16/2018 6
6/13/2020 13.3 (H)

LYMPHS % MAN CNT
3/20/2018 28
10/16/2018 25
6/13/2020 41.6

MONOS % MAN CNT
3/20/2018 4
10/16/2018 8
6/13/2020 23

EOS % MAN CNT
3/20/2018 57
10/16/2018 24
6/13/2020 0.9

BASO'S % MAN CNT
3/20/2018 0
10/16/2018 0
6/13/2020 0.9

PMNS MAN CNT 1.80 - 7.70 x1000/mcL
3/20/2018 0.65 (L)
10/16/2018 1.85
6/13/2020 0.57 (L)

BAND'S MAN CNT
3/20/2018
10/16/2018 0.26
6/13/2020 0.23

LYMPHS MAN CNT 1.00 - 3.60 x1000/mcL
3/20/2018 1.65
10/16/2018 1.08
6/13/2020 0.71 (L)

MONOS MAN CNT 0.10 - 1.00 x1000/mcL
3/20/2018 0.24
10/16/2018 0.34
6/13/2020 0.39

EOS MAN CNT 0.00 - 0.70 x1000/mcL
3/20/2018 3.36 (H)
10/16/2018 1.03 (H)
6/13/2020 0.02

BASO'S MAN CNT 0.00 - 0.20 x1000/mcL
3/20/2018 0
10/16/2018 0
6/13/2020 0.02

PLT EST Adequate
3/20/2018 Adequate
10/16/2018 Adequate
6/13/2020 Adequate

NRBC <=0
3/20/2018
10/16/2018
6/13/2020 2 (H)

ANISOCYTOSIS
3/20/2018 Few (A)
10/16/2018
6/13/2020

Follow up: Dr. Shailja Puri (0 minute later)

Last 2 lab results was WBC.

Answered by Dr. Shailja Puri (5 hours later)

Brief Answer:
Kindly, post all laboratory reports for interpretation.

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
The report posted by you is complete blood count (CBC) report.
I request you to post the entire CBC report and all other laboratory reports.
Serum electrophoresis is a common test done to look for myeloma.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Shailja Puri (12 hours later)

I was told the serum test was not requested. What is the WBC range for myeloma? What causes the flucuation of my WBC? Are there other tests that check for it that the doctor may have requested? If it were myeloma wouldn't the red blood cell count as well as platelet count be low too?

Answered by Dr. Shailja Puri (44 minutes later)

Brief Answer:
The report suggests low WBC count only, not suggestive of myeloma.

Detailed Answer:
Hello and welcome again,
White blood count (WBC) is not a diagnostic test for multiple myeloma.
You have mentioned that WBC count is low in both instances.
The absolute counts are relevant than differential leucocyte count (DLC).
Platelets are within normal limits as per the report.
The reports posted by you do not suggest myeloma.
I suggest you to post the entire reports along with clinical history for interpretation.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Prasad