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Ask Family Physician Your Own Question
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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Recent blood test...wbc 2.79, Plates (sp) 89 Blood test, LL

Customer Question

recent blood test...wbc 2.79
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: Plates (sp) 89 Blood test
JA: Anything else in your medical history you think the doctor should know?
Customer: LL FLOW CD 45 Positive CD 10>1 CD138 >1 CD 34 >1
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. David replied 5 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 5 months ago.

how old are you?

your WBC counts and platelets are low

you need to see a hematologist and get a bone marrow biopsy.

did you have a flow cytometry analysis of peripheral blood or bone marrow?

Customer: replied 5 months ago.
I had a test LLFLOW results today...is CD 45 Positive a good thing or something to be concerned about?
Customer: replied 5 months ago.
I am 67, and had numerous testing done..lots of low counts.
Customer: replied 5 months ago.
some of the numbers are cd 10>1 CD 138>1 CD 34 >1 many others with numbers.
Expert:  Dr. David replied 5 months ago.

CD cell differentiation factors have to be assessed in total when the results are complete.

you didn't answer if this was a peripheral blood test or a bone marrow biopsy

you need to see a hematologist and get a bone marrow biopsy for flow cyometry analysis.

Customer: replied 5 months ago.
Normal Abnormal Ref.Range Units Status Options
Flow Cytometry See Result Note: Final View Recent | Search
Interpretation:
No evidence of lymphocytic neoplasm in peripheral blood by
flow cytometry.Lymphocytes comprise 20% of the cellularity of the peripheral
blood leukocytes by flow. The lymphocyte area is selected by
gating on CD45 bright vs low side scatter.There is no increase in cells in the blast region on CD45 vs
SSC analysis.The lymphocyte population appears normal with T-lymphocyte
predominance.
This test was developed using an analyte specific reagent.
Its performance characteristics were determined by South
Bend Medical Foundation. This test has not been cleared or
approved by the U.S. Food and Drug Administration; however,
FDA clearance or approval is not currently required for
clinical use. The results are not intended to be used as
the sole means for clinical diagnosis or patient management
decisions. SBMF is accredited to perform CLIA High
Complexity Testing.
Electronically verified by: Derrick M. Forchetti M.D.Verified: 10/20/16 17:24
Cell Viability 96 % Final View Recent | Search
CD 45 Positive Final View Recent | Search
CD 10 <1 % Final View Recent | Search
CD 19 7 % Final View Recent | Search
CD 5/CD 19 2 % Final View Recent | Search
CD 20 7 % Final View Recent | Search
CD 23 4 % Final View Recent | Search
CD 5/CD 38 38 % Final View Recent | Search
CD 38 52 % Final View Recent | Search
CD 19/Kappa 5 % Final View Recent | Search
CD 19/Lambda 1 % Final View Recent | Search
Surf. K/L Ratio 5:1 Final View Recent | Search
CD 138 <1 % Final View Recent | Search
CD 2 89 % Final View Recent | Search
CD 3 85 % Final View Recent | Search
CD 4 75 % Final View Recent | Search
CD 5 87 % Final View Recent | Search
CD 7 88 % Final View Recent | Search
CD 8 15 % Final View Recent | Search
CD 3/CD 4 72 % Final View Recent | Search
CD 3/CD 8 13 % Final View Recent | Search
CD4:CD8 Ratio- 5.5:1 Final View Recent | Search
CD 16 6 % Final View Recent | Search
CD 56 7 % Final View Recent | Search
CD 16/CD 56 5 % Final View Recent | Search
CD 34 <1
Expert:  Dr. David replied 5 months ago.

this is a peripheral blood flow cytometry

there is no evidence of cancer or lymphoma on the tests.

you should still ask to see a hematologist and get a bone marrow biopsy.