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Understanding labs and need for bone marrow test please explain

Trying to see why Dr wants a bone marrow test and has mentioned cancer. Don't understand these lab results. Thank you!
Lab Test: Hemogram V
Lab Type: Chemistry/Hematology
Ordering Provider: GREEN, JOSEPH
Ordering Location: MEMPHIS, TN VAMC
Specimen: Whole blood sample (specimen)
Date/Time Collected: 22 May 2017 @ 1637
Collected Location: MEMPHIS, TN VAMC
-------------------------------------------------------------------------
Test Name: BA#3
Result: 0.03
Units: K/uL
Reference Range: (0.0-0.1)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: BA%3
Result: 0.2
Units: %
Reference Range: (0.0-1.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: EO#3
Result: 0.02
Units: K/uL
Reference Range: (0.0-0.8)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: EO%3
Result: 0.2
Units: %
Reference Range: (0.1-8.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: HCT3
Result: 42.9
Units: %
Reference Range: (36-45)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: HGB3
Result: 13.8
Units: g/dL
Reference Range: (12-15.6)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: IG#
Result: 0.04
Units: K/uL
Reference Range: (0-0.055)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: IG%
Result: 0.3
Units: %
Reference Range: (0.0-0.85)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: LY#3
Result: 0.35 Low
Units: K/uL
Reference Range: (1.1-4.7)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: LY%3
Result: 2.9 Low
Units: %
Reference Range: (15.0-45.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MCH3
Result: 33.3 High
Units: pg
Reference Range: (25.0-33.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MCHC3
Result: 32.2
Units: g/dL
Reference Range: (32.0-36.5)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MCV3
Result: 103.4 High
Units: fL
Reference Range: (80.0-100.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MO#3
Result: 0.19 Low
Units: K/uL
Reference Range: (0.25-1.10)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MO%3
Result: 1.6 Low
Units: %
Reference Range: (4.5-12.5)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: MPV3
Result: 10.1
Units: fL
Reference Range: (9.3-13.9)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: NE#3
Result: 11.58 High
Units: K/uL
Reference Range: (1.5-7.4)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: NE%3
Result: 94.8 High
Units: %
Reference Range: (38.0-72.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: PLT3
Result: 450 High
Units: K/uL
Reference Range: (150-420)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: RBC3
Result: 4.15
Units: M/uL
Reference Range: (4.0-6.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: RDW-CV
Result: 14.6
Units: %
Reference Range: (11.0-15.2)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
----------------------
Test Name: WBC3
Result: 12.21 High
Units: K/uL
Reference Range: (4.0-10.0)
Interpretation: --
Performing Location: MEMPHIS, TN VAMC 1030 JEFFERSON AVENUE , MEMPHIS, TN
38104-2127
Status: Final
=========================================================================


----------- END OF MY HEALTHEVET PERSONAL INFORMATION REPORT ----------
2 Responses
1081992 tn?1389903637
COMMUNITY LEADER
Hi, I don't see reason to suspect cancer from this test alone. It looks instead like an infection.


This shows that your neutrophils are high. They are the immune system cells that usually fight bacteria.
Test Name: NE#3
Result: 11.58 High
Units: K/uL
Reference Range: (1.5-7.4)


This shows that your lymphocytes are more than a little low. They can go low because of a bacterial infection.
Test Name: LY#3
Result: 0.35 Low
Units: K/uL
Reference Range: (1.1-4.7)


Monocytes are a litte low. Other counts that are out of range are only slightly so and probably don't matter.

------------------------

Blood cells are made in the marrow. When a cancer gets into the marrow, the cancer cells crowd out the good cells that produce blood cells. But that doesn't seem to be the cause here. I'd ask the doc why they are rushing to do the BMB.


What is your age?
1081992 tn?1389903637
COMMUNITY LEADER
I see from your other post that you have Lupus. Knowing that changes everything. Your doctor probably wants the BM biopsy to determine if your lymphopenia (low lymphocytes) is due to your Lupus affecting your marrow and thereby reducing your *production* of lymphocytes. Tha reduced productoon can also account for your low monocytes.

But if your BMB is okay, then he'll next look to see if your immune system is *destroying* your lymphocytes.  

So yes, you should want the BMB. Good luck.

------

Are you having any symptoms of infection, like a fever or malaise?

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