low neutrophils and high lymphocytes

hello my name is emma, my daughter have some lymph nodes around her neck and after a blood check up she has a low neutrophils 18
(24-62) and high lymphocytes counts 75 (31-65) her doc also said that she has anemia she also has a high RBC 19 (12-16.5) and she also her anisocytosis,  ovalocytes, microcytes and poikilocytosis are 1+
ando also we have a family history of leukemia plz help im so scared and her doc doesn't say anything

[Mochadelicious]

Hi emma,
I wish I was better at interpreting lab results.  Besides the swollen lymph nodes, has your daughter had any other symptoms?  Did her doctor seem concerned about her labs or mention further testing?

[janna77]

thanks for your comment, actually she doesn't have any other symptoms but she is only 19 months so i can't always tell and her doctor mention further testing but im just super scared because of our family history
thank u

[janna77]

thanks for your comment, actually she doesn't have any other symptoms but she is only 19 months so i can't always tell and her doctor mention further testing but im just super scared because of our family history
thank u

[Mochadelicious]

I imagine that you are incredibly worried...having children of my own I truly understand that.  I should have been a little more clear with my last post.  Has she had any symptoms such as frequent fevers or extreme weight loss?  Also, how long has she had the swollen lymph nodes?  

[janna77]

thanks for your respond no she doesn't frequent fevers just low grades and her weight is normal  she has 2 lymph nodes for at least 4 months and one just a week ago. thanks for trying to help i really appreciate it

[Mochadelicious]

Low grade fevers along with swollen lymph nodes can be something serious, and the length of time that the nodes have been swollen are concerning.  You might inquire about doing a biopsy of the nodes.  This is the most definitive way to diagnose blood cancers (if that is truly what her doctor is concerned about).  

[janna77]

i don't think her doc i concerned at all because in her blood work her platelets count are in a normal range but i just google and i found that 36% of childrens with acute lymphocytes leukemia have a normal platelets counts so im really confused, we gonna have an oder blood work i believe this weekend and we will see, thanks again

[Mochadelicious]

Yes, it is quite common to have normal blood work with blood cancers.  It often doesn't get skewed until disease has advanced.  Good luck and I hope you get some answers soon.

[janna77]

thanks u its so nice of to try to help