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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Benign Tumor, Spegelian Hernia, Staph Infection. Extremely High Lymphocytes, Extreme Low Wbcs. Chronic Lymphocytic Leukemia?

Since 2009 I have had a few odd illnesses
Ruptured appendix encased within a benign tumor, spegelian hernia on my left side, staph infection lasting 6 months
Throughout these years I have been told my lymphocytes are extremely high and extreme low wbc, anemia
Was questioned about cll but no one has ever sent me to be tested
Should I be concerned
My bones hurt like not joints but actual bones
Tue, 3 Sep 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
An extremely low white blood cell counts, high lymphocyte count and bone pains is suggestive of sub-leukemic leukemia.
Bone pains are usually seen in conditions wherein there is infiltration of the bones by tumor cells or by weakening of the bones.
A bone marrow aspiration can be helpful in such situation.
In sub-leukemic leukemia, the tumor cells are present in the bone marrow but the white blood cells are not raised.
Another investigation which is very helpful in CLL (chronic lymphocytic leukemia) is monoclonal studies of the lymphocytes.
In any leukemia like CLL, the cells which are increased (lymphocytes) are monoclonal i.e. arise from same clone.
You need to consult a hematologist for further workup.

Thanks and take care
Dr Shailja P Wahal
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History Of Benign Tumor, Spegelian Hernia, Staph Infection. Extremely High Lymphocytes, Extreme Low Wbcs. Chronic Lymphocytic Leukemia?

Hello and welcome to HCM, An extremely low white blood cell counts, high lymphocyte count and bone pains is suggestive of sub-leukemic leukemia. Bone pains are usually seen in conditions wherein there is infiltration of the bones by tumor cells or by weakening of the bones. A bone marrow aspiration can be helpful in such situation. In sub-leukemic leukemia, the tumor cells are present in the bone marrow but the white blood cells are not raised. Another investigation which is very helpful in CLL (chronic lymphocytic leukemia) is monoclonal studies of the lymphocytes. In any leukemia like CLL, the cells which are increased (lymphocytes) are monoclonal i.e. arise from same clone. You need to consult a hematologist for further workup. Thanks and take care Dr Shailja P Wahal