Recent Cbc Instrumentation Showed Abornormality...further Testing Revealed These Levels: Segmented

Posted on Thu, 6 Jun 2019

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Thu, 6 Jun 2019 Answered on

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Question : Recent cbc instrumentation showed abornormality...further testing revealed these levels: segmented neutrophils 51.9 /mature lymphocytes 36.3 / monocytes 4.9 / eosinophils 4.9 / basophils 1.0 /myelocytes 1.0 / neutrophils,absolute 5242 / lymphocytes,absolute 3666 /monocytes,absolute 495 / eosinophils,absolute 495 /basophils, absolute 101 and myelocytes,absolute 101 H. Please tell me what these numbers mean as far as my health is concerned. Thank you!

Answered by Dr. Monish De (11 hours later)

Brief Answer:

I would advise you bone marrow aspiration and biopsy test to rule out CML.

Detailed Answer:

Hi

I have gone through your blood reports

Your myelocytes absolute is high

The cause of high myelocytes absolute could be due to chronic myelogenous leukemia (CML) which is a cancer of the blood and bone marrow

I would advise you bone marrow aspiration and biopsy test to rule out CML.

These 2 procedures are similar and often done at the same time to examine the bone marrow.

Bone marrow has both a solid and a liquid part. A bone marrow aspiration uses a needle to remove a sample of the fluid containing bone marrow cells.

CT scan upper abdomen is also advised to look at and measure the size of the spleen in people with CML.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Monish De (8 hours later)

Bloodwork done in March did not detect these abnormalities.....can I hope it is very early if it is cml? What would treatment plan be?

Answered by Dr. Monish De (39 minutes later)

Brief Answer:

Yes it could be early CML

Detailed Answer:

Hi

Yes it could be early CML

The standard treatment for CML is a tyrosine kinase inhibitor (TKI) like imatinib, nilotinib and dasatinib

Regards

Above answer was peer-reviewed by : Dr. Yogesh D