Hello doctor, I have submitted the reports of HPLC USG and latest CBC. I am worried this time TLC was elevated. In last four or five CBC in two months, it has never crossed the 7 to 9 range. Also, sending you CT and USG reports of two years back.
Hello. I saw your reports (attachment removed to protect patient identity). Your concern for high TLC (total leukocyte count) is not bothering me. We do see DLC (differential count) also, which tells the character of cells whether they are cancerous or not). There is nothing like that in your report. So, you need not worry. HPLC (high-performance liquid chromatography) report is normal, means at present we do not have anything conclusive as almost all investigations have been done in your case except for your bone marrow examination. As you are completely fine and symptom-free and your JAK test was also negative, you are most likely NOT suffering from any cancer, etc. Hematocrit/PCV if crosses 55 to 60, then only we give some symptomatic drug. From my side, I would advise you to just follow dietary advice and get blood levels checked only after three months. Getting it checked every month will only make you more stressed, which I certainly do not want. For more information consult a hematologist online -->