Hi doctor,I have had a total thyroidectomy (TT) two years ago and on my pathology report of the thyroid, I have had mild thyroiditis, and I always have high lymphocytes. For one period of about a year, they were raising every month. My Tg and Abt within normal range. I did anti-TPO and my result is 2.01 and ref range is less than 5.6. My question for you is on my case can Hashimoto thyroiditis decrease neutrophilia and increase lymphocytes even after hysterectomy? Or shall I consider blood cancer and make the test to rule out. I do not have any symptoms.
Hi. I have reviewed your results (attachment removed to protect patient identity). From what I have seen leukocytes are within normal range as well as hemoglobin, platelets were not reported. From the automatic differential, there is indeed a slight lymphocytosis, but the manual differential (the one reviewed by the doctor under a microscope) report 70 % neutrophils and 30 % lymphocytes. A mere laboratory result does not hold much strength especially like in your case when the total leukocyte count is normal and you report no other complaints such as malaise, night sweats and/or fever. However, if you have a concomitant enlarged lymph node and/or spleen to proceed with more specific tests such as flow cytometry to rule out chronic lymphocytic leukemia. But, anyway, the manual differential would have shown the presence of atypical, abnormal cells. Since it does report no atypia, this means that it is much less likely that there is a blood disorder (provided that no lymph nodes and spleen are enlarged and you have no complaints). I would suggest a regular, monthly blood count and differential tests and an abdominal sonography to check for the spleen. The changes in the blood counts can be just reactive to some condition. This could be autoimmune disorder such as thyroiditis or viral infection. Viral infection Abdominal ultrasound Autoimmune disorder For more information consult a hematologist online.--->