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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
I do share your concerns.
Presence of smudge cells along with increased lymphocytes can be a sign of CLL or chronic lymphocytic leukemia.
Hence you need to get a bone marrow examination with cytogenetic studies done for further diagnosis.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/