Abs lymph

[Ironj]

What is a dangerous or very high # for total lymph #. Is it common to have a normal count of your white blood cell under 10,000 and a elevated Abs count above normal of the 0.9 3.2 ?

I was looking over my CBC trying to learn and noticed my Abs for the past year has been about 2.8 in March and from the last test was about 2 months ago it went from the 2.8 to 3.4. Should I be concerned with this jump ? Thanks John

[AussieNeil Administrator]

You have a LONG way to go...

CLL specialists don't get interested in absolute lymphocyte counts until they exceed 30, after which they monitor doubling time. Doubling in under 6 months is one of the triggers for starting treatment, but even then CLL specialists look for other indications treatment time has arrived.

There’s no lymphocyte count trigger level to start treatment: healthunlocked.com/cllsuppo...

Neil

[Ironj in reply to AussieNeil]

Thank you Neal that’s good news . I was a little shaken when I seen the number go up over a 2 month time frame. Thanks again John

[AussieNeil Administrator in reply to Ironj]

Hi John,

Further to Newdawn's feedback, given your SLL diagnosis, your lymphocyte count is indeed the least of your concerns. Further, a change of 0.6 is well within the +/-0.5 limits of precision for testing the same blood sample, let alone results two months apart, given all the other factors that contribute to test result variations: healthunlocked.com/cllsuppo...

and

healthunlocked.com/cllsuppo...

As Newdawn mentioned, haemoglobin, platelet and neutrophil counts are of more concern to our general health. The post referenced immediately above includes a link to spreadsheet templates, so you can chart your blood test results and observe trends.

Your SLL may eventually 'become' CLL if your absolute lymphocyte count exceeds 5.0 (though when you read this post, you'll appreciate you really have SLL/CLL): healthunlocked.com/cllsuppo...

Neil

[DaleFL in reply to AussieNeil]

Neil is right.

[bkoffman CLL CURE Hero in reply to DaleFL]

Those are normal levels. No worries.

[Newdawn Administrator]

As you appear to have SLL, you Absolute Lymphocyte Count (ALC) may never hit massive levels but it’s important to monitor other levels like neutrophils, platelets, Haemoglobin etc. The impact of lymphadenopathy (enlarged lymph nodes) is of crucial importance in SLL.

As Neil says, an ALC of 3.4 is minuscule and a jump from 2.8 barely significant.

My ALC is bouncing around the 100 mark but it’s level of progression and the development of cytopenias that the specialist is keeping a watch for.

Certainly nothing for you to be overly concerned about at the moment John.

Newdawn

[Ironj in reply to Newdawn]

You guys are a great resource of support and knowledge and I thank you all for that. Neal sent me his link to a post as well , with very understanding information. Thanks again John.

[Ironj]

My neutrophils are 229. and platelets are 47.1 I will keep a log to see a pattern thank you. John

[AussieNeil Administrator in reply to Ironj]

Can you check please - and include the reference ranges for these from your report?

Neutrophils should be within a reference range of 1.8 to 7.5 or thereabouts and likewise 150 to 450 for platelets, depending on the pathology laboratory.

[AussieNeil Administrator in reply to AussieNeil]

From your new post, your neutrophils are a very healthy 4.0 and your platelets are an equally healthy 229. Many here would be very envious of your excellent blood test results.

healthunlocked.com/cllsuppo...

[Ironj in reply to AussieNeil]

Thats good news.. thank you Neal for taking the time. Thanks again John