Can you have leukemia with normal blood work?

Acute leukemias — which are incredibly rare — are the most rapidly progressing cancer we know of. The white cells in the blood grow very quickly, over a matter of days to weeks. Sometimes a patient with acute leukemia has no symptoms or has normal blood work even a few weeks or months before the diagnosis.


Does leukemia always show up in blood work?

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.

Can blood tests miss leukemia?

In some cases, your doctor might order bone marrow testing even though your blood tests didn't indicate leukemia. That's because in some types of leukemia, cancer cells stay in the bone marrow and don't circulate in the blood.


Can you have leukemia with normal WBC?

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.

What test rules out leukemia?

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.


How is Leukemia Diagnosed?



What does a CBC look like with leukemia?

Understanding your blood count test results

If you have leukemia, your blood cells count will likely show higher than usual levels of white blood cells, which include leukemic cells. You may also have lower than usual red blood cell and platelet cell counts.

What does blood work look like for leukemia?

The cells appear abnormal under a microscope. Red blood cells and platelet counts may be low. Acute lymphocytic leukemia (ALL): Blood tests of people with ALL often reveal high levels of lymphoblasts (immature white blood cells) and low levels of red blood cells and platelets.

What was your first symptom of leukemia?

Often, leukemia starts with flu-like symptoms, including night sweats, fatigue, and fever. However, if these flu symptoms go on for longer than usual, it's best to contact a doctor. Other early symptoms of leukemia include: Loss of appetite or sudden weight loss.


What cancers don't show up in blood work?

Aside from leukemia, most cancers cannot be detected in routine blood work, such as a CBC test. However, specific blood tests are designed to identify tumor markers, which are chemicals and proteins that may be found in the blood in higher quantities than normal when cancer is present.

Do you feel ill with leukemia?

People often feel ill quite quickly. Most symptoms of acute leukaemia are caused by leukaemia cells filling the bone marrow. This means healthy blood cells do not move into the blood as normal.

What diseases mimic leukemia?

Leukemia is commonly misdiagnosed as the following conditions:
  • Influenza.
  • Fever.
  • Pathological fracture.
  • Bleeding disorders.
  • Immune thrombocytopenic purpura.
  • Trypanosomiasis.
  • Autoimmune lymphoproliferative syndrome.


Is leukemia hard to diagnose?

The process of diagnosis may seem long and frustrating. It's normal to worry, but try to remember that other health conditions can cause similar symptoms as leukemia. It's important for the healthcare team to rule out other reasons for a health problem before making a diagnosis of leukemia.

At what age is leukemia usually diagnosed?

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. The median age of an ALL patient at diagnosis is 15.

What cancers are the hardest to detect?

Pancreatic cancer doesn't garner much treatment success for a number of reasons: It's hard to detect early. The pancreas is deep within the body so there aren't signs people can detect easily. The disease spreads quickly to other nearby organs, including liver, intestines, and gall bladder.


Does lymphoma show up in blood work?

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.

What is Hodgkin's lymphoma?

Hodgkin's lymphoma is a type of cancer that affects the lymphatic system, which is part of the body's germ-fighting immune system. In Hodgkin's lymphoma, white blood cells called lymphocytes grow out of control, causing swollen lymph nodes and growths throughout the body.

What hurts if you have leukemia?

Leukemia or myelodysplastic syndromes (MDS) can cause bone or joint pain, usually because your bone marrow has become overcrowded with cancer cells. At times, these cells may form a mass near the spinal cord's nerves or in the joints.


How long can you have leukaemia without knowing?

Acute leukemias — which are incredibly rare — are the most rapidly progressing cancer we know of. The white cells in the blood grow very quickly, over a matter of days to weeks. Sometimes a patient with acute leukemia has no symptoms or has normal blood work even a few weeks or months before the diagnosis.

Where does leukemia usually begin?

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.

What clues on a CBC would make a doctor suspect leukemia?

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.


Will CBC be abnormal with leukemia?

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.

Can you have leukemia with normal platelets?

Patients with ALL often present at the time of diagnosis with pancytopenia or bicytopenia but may sometimes have normal peripheral blood cell counts. The platelet series is the earliest and the most consistently decreased series in ALL cases at the time of diagnosis and even at the relapse phase.

What are the odds of getting leukemia?

About 1.5% of people in the United States—almost 5 million—will be diagnosed with leukemia in their lifetime. Although there are several risk factors for the disease, it is strongly related to age.


Who is at high risk for leukemia?

Age – Generally speaking, individuals over the age of 65 are more at risk for leukemia. Demographics – While anyone can conceivably develop leukemia, white males are statistically most susceptible. Radiation exposure – Exposure to radiation from an atomic bomb increases the likelihood that leukemia cells will form.

How can I test for leukemia at home?

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.