my dad is undergoing tests for leukemia or lymphoma?

[wildirishrose2008]

Hi,

My 83 year old dad at his routine physical was told that his WBC was 55,000 and that he had leukemia.  He had more blood tests and the report came back that it was possibly Chronic myleoproliferative disease.  Meanwhile, we went for a second opinion.  That dr. ordered a bone marrow biopsy. The results came back inconclusive.  Today my dad is having a gastric ct scan of chest and abdomen.  Are they looking for lymphoma or what?  He presents with fatigue and has a little cough (had for a long time...was told it was related to his cholestral meds).  He was also diagnosed with a low thryoid (like me) and put on levothryoxine.  

I'm confused...just what might they be looking for?  I'm not getting clear answers.

Thanks so much for any help that you can give me.  We are all really worried.  He is generally in great health, even doing well after his second stint in his artieries in fall of 2006.

Regards,

Sean

[AsifYS]

My dad suddenly started passing blood clots in his urine ,
E admitted him to a hospital n CBC done were it was shown his Platlets were 466000 n WBC 55000 so after systoscooy the urologist said he has an enlarge prostate n tht TURP cannot do as WBC were high n tht v consult a Hematologist , after the consultation he adviced us tht WBC is high due to blod in bladder once prostate will b done WBC will com down which we informed our urologist n than TURP was performed
Still bleeding did nt stop n another TURP was done n again after 10 days bleeding restarted
Now again we were asked to refer a hematologist u asked u to do WBC , bone marrow abbreviation n biopsy
BCr Abl Transcript fusion,Sweum Electrolytes,CRP-C Reactive Proteins, JAK-2 Mutation Detection all these tests were pro formed n all were clear still bleed through urine is nt stopping
Only wen RDP Platlets r given it stops for 10 days than again restarts we hav again got to giv 6 Platlets to him
The hematologist says he doubts Myloproliferative Neiplasma which tests still do nt show and
Now we r giving him Tab hydrea thrice a day for a week than twice a day , Tab Febujek 40mg once morning, Tab Homochek once at night
iV  Inj Encicrab500
Iv Errhroporetin 4000 both once weekly
Now we r asked to do
Fish for BCR-ABL
Cal reticulum Mutation
CAN U PLEASE ADVICE N HELP

[PaulMD]

Hi there.

A 55,000 white blood count is really high, and this would raise the suspicion of a possible hematologic malignancy such as that of lymphoma or leukemia, or other myeloproliferative diseases (MPDs)

Leukemias and other MPDs are usually diagnosed through a bone marrow aspiration and biopsy.  But if this is inconclusive, then you may want to talk to his doctors regarding special tests done to the bone marrow aspirate such as a Flow Cytometry, to more accurately show which blood components are abnormal.

High white counts can also be a 'leukemoid' reaction secondary to an infection, or other malignancies such as that of the lungs or the gastrointestinal tract.

Regards.