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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Blood Test Report Signify?

HAD A CBC IN JAN. WBC WAS 2.4 RBC 4.44 HGB A5 PLT 81 DOCTOR ORDERED A BONE MARROW BIOPSY WHICH SHOWED SAME NUMBERS NO CANCER FOUND LUKEMIA/LYMPHOMA, JUST HAD 3 MONTH RECHECK CBC NUMBERS ABOUT SAME. PRIOR TO JAN. I DIDN'T HAVE A BASELINE TO COMPARE TO, I AM MALE AGE 60, WHAT'S YOUR TAKE, THANKS.
Wed, 11 Jun 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

The CBC report shows that your hemoglobin level is low at 5 gm % (Normal Hb should be above 12 gm %.
The white blood cell count is low at 2400 (Normal is 4000-10,000 per cubic millimeter).
The platelet count is also low at 81,ooo per cubic millimeter (Normal is 1.5-4.5 lakh per cubic millimeter).

Thus, all three blood parameters ie. Hemoglobin, total leukocyte count and platelet count is below normal range.
This suggests pancytopenia.
Pancytopenia is due to bone marrow depression or destruction of blood cells in peripheral blood.
The former condition is more common.
The causes of bone marrow depression are bone marrow hypoplasia, bone marrow replacement by malignant cells (primary or secondary), depression of bone marrow by chemical mediators released by certain infections like tuberculosis, leishmaniasis, fungal infections.

Your bone marrow has shown absence of any malignancy, thus this possibility is ruled out.
Clinical correlation and follow up investigations on bloConsult hematologist for further work up.

Thanks and take care
Dr Shailja P Wahald and bone marrow are required.


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What Does This Blood Test Report Signify?

Hello and welcome to HCM, The CBC report shows that your hemoglobin level is low at 5 gm % (Normal Hb should be above 12 gm %. The white blood cell count is low at 2400 (Normal is 4000-10,000 per cubic millimeter). The platelet count is also low at 81,ooo per cubic millimeter (Normal is 1.5-4.5 lakh per cubic millimeter). Thus, all three blood parameters ie. Hemoglobin, total leukocyte count and platelet count is below normal range. This suggests pancytopenia. Pancytopenia is due to bone marrow depression or destruction of blood cells in peripheral blood. The former condition is more common. The causes of bone marrow depression are bone marrow hypoplasia, bone marrow replacement by malignant cells (primary or secondary), depression of bone marrow by chemical mediators released by certain infections like tuberculosis, leishmaniasis, fungal infections. Your bone marrow has shown absence of any malignancy, thus this possibility is ruled out. Clinical correlation and follow up investigations on bloConsult hematologist for further work up. Thanks and take care Dr Shailja P Wahald and bone marrow are required.