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Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18765
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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My results from a annual physical show that my Lymphs is 48

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My results from a annual physical show that my Lymphs is 48 which is high by 2 points. Is this a sign of Lymph cancer. My family doctor believe that I am just fighting off an infection. There is also a small not under my chin.
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Do you have the total white blood count?

I had asked for some further information and have not heard back, but I have to run to the Health Center, so will address what information is available.

I asked about the total white blood count to determine the absolute number of lymphocytes. Since the total white blood count is the sum of several different types of white blood cells, an increased percentage of any particular white blood cell can be due to an increase in the number of that type of white blood cell or a decrease in the other types of white blood cells, particularly the neutrophils (which are the largest portion of the total white blood cells).

If the number of lymphocytes is increased, then the most likely cause is a viral infection. There is a very small risk that the increase is due to cancer, but doctors will usually only be concerned about the possibility of cancer if the number is ***** high or if a lower elevation is more persistent. If there are immature forms of any white blood cell present, that would be more of a concern, but these would not be reported as lymphocytes. Ultimately, the proof that this is due to an infection is that a repeat test will be normal.

If the percentage is high because of a decrease in other white blood cells, then this is frequently nothing to be concerned about and is not a potential sign of lymphatic cancer. Whether this is a concern for anything in this scenario would depend upon the absolute number of each respective type of white blood cell.

If you have any further questions, please let me know. I will be back online later today.

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Customer: replied 3 years ago.

Sorry that I did not reply yesterday. Had an emergency. According to my lab report the only out-of-range was the Lymphs which was 48 and my total cholesterol count was 247(LdL is 167), ph is 6.5, blood(neg);protein (neg); leukocytes(neg). neutrophils 44, monocytes 7; eos 1 , basos 0, neutrophils (absolute) 2.1, lymphs (absolute) 2.3. monocytes(absolute .3, Eos (Absolute .1, baso (absolute) 0, immature Granuloytes 0, immature grans serm 90,. This is all of the information that looks like it relates to blood count. Thank you for your response.

It is no problem that you did not respond quickly. I also have times when I am away from the computer, which is why I was not able to respond immediately today.

Actually, the lab report has already calculated the absolute number of lymphocytes, which is 2.3 and well within the normal range. All of these absolute values are within their respective normal range, so this result is nothing to worry about. The only reason that the percentage of lymphocytes is slightly high is that the absolute value for the neutrophils are low in the normal range, but they are still normal, so is not a problem.