Hi, when blood counts are low it is possible that the bone marrow (where blood cells are manufactured) has been infiltrated with unusual cells. The unusual cells crowd out the production of the normal blood cells. The unusual cells might be cancer.
The "RESULT OF BONE TREPHINE (H&E) SECTION" does say that is happening.
But you'd want to mainly look at the Opinion section.
"T-lymphocytosis" means there is an elevated number of the immune cells called T-lymphocytes. The term "reactive" means the condition when they proliferate as part of their normal job - which is to kill infected cells but also cancer cells.
"Possibility of mature T-cell lymphoproliferative disorder can not be excluded on the material examined" means it might be cancer - a "T-cell lymphoma".
"Suggest biopsy of any accessible lymph node" is to see if there is T-cell lymphoma in some lymph node which would be easy go remove surgically. Then they look at the cells to see if anything looks like cancerous cells.
I wonder why they haven't dome a PET scan at this point, to try and identify any possible cancerous nodes in the body.
Just to add my cousin's white blood cells are less don't know the reason but he has less than half of normal white blood cells i think he has between 1900 to 2500 somthing .
Thanks very much for the reply i really appreciate that .
so it means there are not sure if this is cancer or something else? there are chances?
what is PET scan?
correct, they are not sure. I don't think that percentages can be estimated at this point. There are also some lymphoproliferative disorders that are not cancer, but they are rare AFAIK.
In a PET scan, a person gets injected with some radioactive sugar. That sugar accumulates in cancer cells and so those areas can be see with a certain type scanner. It's way to quickly see suspect areas bodywide, because those ares "light up" in the scan. It would enable them to easily choose which node to biopsy.
The PET scan uses anti-matter.
Then again, a biopsy would likely be cheaper than the PET.
but a PET can also detect areas of infection... and I suppose it's possible that the whole problem really results from something like a virus infection. Or an adult T-cell leukemia?
I don''t really know, this type of thing is all very complicated.
I suppose the best thing is to think the best until further testing is done.
Thanks very very much for the reply i really appreciate that lets wait for the other results
Can people live with NHL??
Yes, and it depends a lot on the type. For instance, Follicular NHL is often 'indolent' meaning that it's slow growing. Some types respond well to therapy.