Hi, there's no reason to suspect a cancer. Some people just have naturally low-ish WBCs. Are you very thin and lean?
When blood cells go low from a cancer, it's because the cancer has invaded the bone marrow, which is where the blood cells are made. That's not you. Especially since you've been okay for years, which is very important. But if this were a sudden new development, it would be more worrisome.
Also, since you don't get frequent colds or other infections, your immune system seems to be doing its job quite well even though the WBC is technically low. People with a genetically caused malady of low immune cells tend to get sick a LOT.
If you think of a "bell curve", somebody has to be on the left and still be normal.
Having a low WBC tends to say you have low general inflammation, and that should be good in that you are less inclined to diseases of chronic inflammation such as heart disease. So that's the plus side :)
"Dr sending me back to hematologist for another evaluation."
I would look at that as "we have to be a little bit on guard, just as a matter of standard procedure".
Low-normal platelets are still normal and I don't think any doc would be concerned.
You would have mentioned if you are taking any meds that could cause low blood cells. Another possibility is heavy metals in food or water, just a thought. In probably most cases of low blood cells, there is never a cause known.
I've seen more than a few people come through with "health anxiety". I realize it's not something you can control, it's not your fault and it's not as if it's some defect or flaw in you. It just is. Hopefully though, you can realize that it's not reality based in this case, as all the medical facts are in your favor.
Write again anytime at all, Twinny.
P.S. Would it make you feel better to get a new CBC as soon as possible, to see that the monocytes are normal? Then by all means call one of your docs tomorrow and ask for the order. It's cheap and they shouldn't mind.
Well, I have more than once suggested to people that it might help their anxiety if they research non-cancer causes for their condition. Sort of to distract the mind away from the worst possible thoughts.
For instance, I just did a quick webseach for --> flecainide pancytopenia
and I saw that flecainide can indeed lower blood cell counts, even though that's rare. But somebody's got to be the rare case, right?
You can check the other drugs also, and correlate with when you started taking them. ("pancytopenia" means all the blood cells are low. "pan" means across the board, "cyto" means cells, and "penia" means low. It's just a convenient term to use in this case, even though your RBCs aren't low. It leads to papers where flecainide influences cell numbers in general.)
Well, Twinny, it's my understanding of smoldering Multiple Myeloma that if it were present, it would also cause low red blood cells. But you don't have that.
The reason is that the SMM cells would be in the marrow and interfere with normal production of WBCs and also RBCs.
You could always ask the hema to run a blood test for the proteins that SMM cells produce. My guess is that the hema would say the test isn't justified; but then, you never know until you ask :)
Btw, if you press on your spleen area (beneath the stomach), there is no tenderness or swelling, right?
I'm glad to hear it, Twinny. Thanks for letting me know.