Hi, so my last CT had a slight increase in a shadow in my liver so we decided to change Letrozole to Fulvestrant shots, staying on Ibrance and saving Piqurey for the future.
Tuesday I went to get my blood labs and Fulvestrant shots.
My CBC showed a decrease in Hemogloben. It was 11.2 2 months ago (skipped last months labs due to Covid 19), this month was 8.3. Another key was Neucleated red blood cells were 5/100 (should be 0/100).
What this means is that cancer is now in the bone marrow disrupting normal red blood cell production, causing immature rbcs into the blood stream.
I looked back and my lab numbers and they were comperable to when I was first diagnosed in 6/2018.
I just wanted people to know that if you have decreasing hemoglobin or increasing neucleated red blood cells you might want to consider progression.