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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Abdominal Mass, Enlarged Kidney, High WBC And Platelets. Dangerous?

Hello, I am a retired RN with a close friend whom is being transferred to children s hospital with her 8 yr old son by ambulance. All I know at this point is abd mass, enlarged kidney , labs: HGB 6.5 with high WBC s and PLT s. Transferring ER told parents they are thinking lymphoma . Is that low of a hgb unusual and dangerous for a child that age with that type of dx? Thanks so much, Patti
Wed, 9 Jan 2013
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Pediatrician 's  Response
Hi
Thank you for your concern,
Hemoglobin is very low for this child.
As you told there was abdominal mass, enlarged kidney and WBC it may be malignancy mostly hematological like leukemia or lymphoma but needs further investigation.
Hemoglobin can be increase by giving blood transfusions and by treating the underlying the disease.
The prognosis will depend the diagnosis and the modern medicine having very good treatment options for malignant diseases.
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Child Has Abdominal Mass, Enlarged Kidney, High WBC And Platelets. Dangerous?

Hi Thank you for your concern, Hemoglobin is very low for this child. As you told there was abdominal mass, enlarged kidney and WBC it may be malignancy mostly hematological like leukemia or lymphoma but needs further investigation. Hemoglobin can be increase by giving blood transfusions and by treating the underlying the disease. The prognosis will depend the diagnosis and the modern medicine having very good treatment options for malignant diseases.