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Dr. Andrew Rynne

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Exp 50 years

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Lastly, can an patient who has a totally normal CBC

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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 7394 Questions

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Posted on Thu, 31 Jan 2019 in Blood Disorders
Question: Lastly, can an patient who has a totally normal CBC result , have blood cancer cells in the bone marrow? Can the blood be normal if the bone marrow is abnormal? Can the bone marrow contain blood cancer if CBC bloodwork is normal ?
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Follow up: Dr. Shailja Puri 0 minute later
Lastly, can an patient who has a totally normal CBC result , have blood cancer cells in the bone marrow? Can the blood be normal if the bone marrow is abnormal? Can the bone marrow contain blood cancer if CBC bloodwork is normal ?
doctor
Answered by Dr. Shailja Puri 53 minutes later
Brief Answer:
Normal blood picture is not seen when there is cancer of the bone marrow

Detailed Answer:
Hello,
Thanks for posting your query on 'Ask A Doctor' service.

It is extremely rare to have no cancer cells in blood if cancer is present in bone marrow.
The cells formed in bone marrow - whether normal or abnormal reach the blood.

So, if there is any kind of cancer in bone marrow, it can be picked up in blood in almost all cases.
To pick up cancer, peripheral blood examination is mandatory along with complete blood count (CBC).

Besides cancer, any abnormality of red blood cells or platelets in bone marrow will also be detected in CBC and peripheral blood smear examination.

If you have more queries, I will be glad to answer.

Thanks and take care
Dr Shailja Puri


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Shailja Puri 0 minute later
Brief Answer:
Normal blood picture is not seen when there is cancer of the bone marrow

Detailed Answer:
Hello,
Thanks for posting your query on 'Ask A Doctor' service.

It is extremely rare to have no cancer cells in blood if cancer is present in bone marrow.
The cells formed in bone marrow - whether normal or abnormal reach the blood.

So, if there is any kind of cancer in bone marrow, it can be picked up in blood in almost all cases.
To pick up cancer, peripheral blood examination is mandatory along with complete blood count (CBC).

Besides cancer, any abnormality of red blood cells or platelets in bone marrow will also be detected in CBC and peripheral blood smear examination.

If you have more queries, I will be glad to answer.

Thanks and take care
Dr Shailja Puri


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Shailja Puri 10 days later
Hi, I had a complete blood count on 1/5/19 the white cell count was 6.1 . On Thursday 1/10/19 I had a few xrays on my hip and spine. On 1/12/19 I had a cbc again this time the white cell count was only 5.2, I do not have xrays often at all so my question is can the xrays I had done on 1/10/19 have lowered my white cell count from 6.1 on 1/5/19 to only 5.2 on 1/12/19,
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Follow up: Dr. Shailja Puri 0 minute later
Hi, I had a complete blood count on 1/5/19 the white cell count was 6.1 . On Thursday 1/10/19 I had a few xrays on my hip and spine. On 1/12/19 I had a cbc again this time the white cell count was only 5.2, I do not have xrays often at all so my question is can the xrays I had done on 1/10/19 have lowered my white cell count from 6.1 on 1/5/19 to only 5.2 on 1/12/19,
doctor
Answered by Dr. Shailja Puri 21 hours later
Brief Answer:
White blood counts on two occasions are within range.

Detailed Answer:
Hello and welcome again,
White blood counts of 6.1 and 5.2 are within normal range.
Variation in white blood cell counts can be seen when test is done on different occasions.
X-ray of the hip or any other part is not known to cause decrease in white blood cell counts.

There is nothing to worry.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Shailja Puri 0 minute later
Brief Answer:
White blood counts on two occasions are within range.

Detailed Answer:
Hello and welcome again,
White blood counts of 6.1 and 5.2 are within normal range.
Variation in white blood cell counts can be seen when test is done on different occasions.
X-ray of the hip or any other part is not known to cause decrease in white blood cell counts.

There is nothing to worry.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Prasad
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