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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 29242
Experience:  MD
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I just got my bloodwork back from my PCP. She said I need to

Customer Question

I just got my bloodwork back from my PCP. She said I need to schedule with a hematologist because of smudge cells and some off levels. I was able to get into an oncologist. He saw my results and said I have nothing to worry about. That smudge cells are only an indication of something worse if other things are off. However, my neutrophils are low and lymphocytes are high. Aren't those off? How is this ok?
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Submitted: 1 year ago.
Category: Health
Expert:  Dr Basu replied 1 year ago.

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.
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