At the time of diagnosis, patients can have very, very high white blood cell counts. Typically a healthy person has a white blood cell count of about 4,000-11,000. Patients with acute or even chronic leukemia may come in with a white blood cell count up into the 100,000-400,000 range.
Leukemia is most often diagnosed through a diagnostic test called a complete blood count (CBC). If a patient's CBC shows abnormal levels of white blood cells or abnormally low red blood cells or platelets, he or she has leukemia. The physician will then order a bone marrow biopsy to determine the type of leukemia.
Routine blood work can detect some cancers, especially blood cancers like leukemia, lymphoma, and multiple myeloma. A complete blood count test can detect cancer as well as many other health conditions to give insight into your overall health.
Complete blood count (CBC): This blood test lets your healthcare provider know if you have abnormal levels of red blood cells, white blood cells and platelets. If you have leukemia, you'll likely have higher than normal counts of white blood cells.
How is leukemia diagnosed? A diagnosis of leukemia is usually made by analyzing a patient's blood sample through a complete blood count (CBC) or microscopic evaluation of the blood, or by using flow cytometry.
By looking at a sample of your blood, your doctor can determine if you have abnormal levels of red or white blood cells or platelets — which may suggest leukemia. A blood test may also show the presence of leukemia cells, though not all types of leukemia cause the leukemia cells to circulate in the blood.
Some symptoms, like night sweats, fever, fatigue and achiness, resemble flu-like symptoms. Unlike symptoms of the flu, which generally subside as you get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising.
In CLL, the leukemia cells grow out of control and crowd out normal blood cells. These cells often build up slowly over time. Many people don't have any symptoms for at least a few years. In time, the cells can spread to other parts of the body, including the lymph nodes, liver, and spleen.
Neutrophils: 55 to 70 percent.
Leukemia is commonly misdiagnosed as the following conditions: Influenza. Fever. Pathological fracture.
Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.
Acute leukemia symptoms can often appear suddenly
With acute leukemia, symptoms tend to develop very quickly. You may suddenly spike a fever that won't go away, develop an infection for no apparent reason, or start bleeding spontaneously from your nose or gums and not be able to stop it.
Leukemia starts in the soft, inner part of the bones (bone marrow), but often moves quickly into the blood. It can then spread to other parts of the body, such as the lymph nodes, spleen, liver, central nervous system and other organs.
Chronic leukemia often causes only a few symptoms or none at all. Signs and symptoms usually develop gradually. People with a chronic leukemia often complain that they just do not feel well. The disease is often found during a routine blood test.
Blood Tests
A low level of red blood cells, white blood cells or platelets may indicate that the lymphoma is present in the bone marrow and/or blood. Erythrocyte sedimentation rate (ESR). This test is done to determine the rate at which the red blood cells settle to the bottom of a tube.
Laboratory tests, and specifically blood tests, are among the most important diagnostic tools for leukemia. For some types of leukemia, such as chronic lymphocytic leukemia, blood tests may be the only test needed to confirm the diagnosis (but other tests may be used to find out more about the cancer).
If caught early, leukemia can be cured by undergoing several cancer treatments.
Age: The risk of most leukemias increase with age. The median age of a patient diagnosed with acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL) or chronic myeloid leukemia (CML) is 65 years and older. However, most cases of acute lymphocytic leukemia (ALL) occur in people under 20 years old.
Leukemia cutis appears as red or purplish red, and it occasionally looks dark red or brown. It affects the outer skin layer, the inner skin layer, and the layer of tissue beneath the skin. The rash can involve flushed skin, plaques, and scaly lesions. It most commonly appears on the trunk, arms, and legs.
So while you may be able to see if you have genetic markers for future cancer development, there's currently no home test available that can tell you whether you have leukemia currently. Possible tests available for home use can give you an idea of your overall health and risk factors, but they can't diagnose leukemia.
These patients often have relatively normal blood cell counts and a lower incidence of organomegaly. This form of presentation can lead to delays in the diagnosis of acute leukemia in adults. We experienced the case of a 41‐year‐old male with acute leukemia presenting as bone pain with a normal white blood cell count.
At the time of diagnosis, patients can have very, very high white blood cell counts. Typically a healthy person has a white blood cell count of about 4,000-11,000. Patients with acute or even chronic leukemia may come in with a white blood cell count up into the 100,000-400,000 range.