Dr. Agos Luca

Pathology
Washington, DC
male

About

Bio

I received my MD from the University of Medicine and Pharmacy in Targu-Mures, Romania. My residency in pathology was at the University of Illinois at Chicago where I also served as chief resident. Two fellowships followed, one in hematopathology at Loyola University and the other in pediatric pathology at Children’s Memorial Hospital, both in Chicago. Subsequently, I spent six years as a hematopathologist and pediatric pathologist at Children’s of Minnesota, also serving as director of hematopathology & flow cytometry. I am currently holding the same position at Children's National Medical Center in Washington, DC. I am an assistant professor at the George Washington University. Board-certified in anatomic & clinical pathology, hematopathology, and pediatric pathology.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pathology

Languages spoken

Romanian

Doctor Q&A

317 Answers
34 Agrees
The number of answers this doctor has agreed with.
A 18-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Yes: Your doctor is right. Lymph nodes involved by lymphoma are usually hard, rubbery, difficult to move around due to adhesions to the neighboring tissue... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Multiple: Iron deficiency (microcytic hypochromic) is one of the main causes but there are others: vitamin b12/folate deficiency (macrocytic), chronic disease l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Once the diagnosis of leukemia is confirmed, you have to be taken care of by a hematologist/oncologist who will coordinate proper treatment and manage... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Blood cancer: Generally speaking, leukemia is a form of cancer, more specifically a cancer that usually originates in the bone marrow and then spreads into the bloo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Many types of leukemia are treatable and go into remission and even complete cure. Once a diagnosis of leukemia is established, the treatment and the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Probably not: Myelodysplastic syndrome (mds) in a first degree relative may slightly increase your overall risk but this is still minimal.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Lymphoma are forms of cancer that occur in lymph nodes or other organs containing lymphoid tissue.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
It depends: It depends heavily on type of leukemia, age of patient, response to chemotherapy and many other factors. A general statement about chances of remissio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Chemotherapy: Once the diagnosis is confirmed, chemotherapy that is specifically tailored for the type of leukemia will be the main treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Myelodysplastic syndromes (mds) represent a group of bone marrow cancers similar to leukemias in many respects but usually with a less aggressive evol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
It depends: The treatment varies significantly function of type of leukemia, age of patient, coexisting conditions, etc. A form of chemotherapy is virtually alway... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
It depends: It is very important to know what kind of anemia and what causes it. Iron deficiency is one of the main causes but there are others: vitamin b12/folat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below: Any type of anemia can have various complications if left untreated but it depends heavily on the type of anemia and its cause. Normocytic normochromi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below: Leukopenia is a decrease in the white blood cell (WBC) count. It does not lead to leukemia but can be a manifestatiin of leukemia even though leukemia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
The other way around: Achlorhydria (lack of adequate gastric acid production and secretion) is one of the causes of pernicious anemia and not the other way around. Normal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
It depends...: Generally speaking, children are affected the most. Leukemia is the most common cancer in the pediatric population especially the type called b lympho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Leukocytosis: It means leukocytosis which is an abnormally high white blood cell (WBC) count. This finding can be associated with multiple clinical conditions incl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Agos Luca
Specializes in Pathology
Unlikely: Jumping to leukemia from a couple of bruises is probably overreacting. By the way, anemia, which is a lack of sufficient red blood cells, has nothing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Agos Luca
Specializes in Pathology
Multiple: Leukemia can present with multiple signs and symptoms including but not limited to: bone pain, refusal to bear weight, gum bleeding, bleeding from oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Agos Luca
Specializes in Pathology
It depends...: It depends on to many factors to be discussed here, especially with incomplete information. This issue is best addressed by consulting your oncologis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: The bone marrow (where blood elements are produced) has high cellularity in mds, similar to leukemia. However, unlike leukemia, most of these abnorma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: It means that an automated analyzer was used to perform the cell count and differential. For the total WBC count in adults the generally accepted nor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Biopsy if necessary: If there is significant lymph node enlargement, a lymph node biopsy is necessary to make this distinction; however, a biopsy is indicated only if your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Multiple: Leukemia can present with multiple signs and symptoms including but not limited to: bone pain, refusal to bear weight, gum bleeding, bleeding from oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Hard to say...: Many times we don't know what causes leukemia, irrespective of type. The process is probably multifactorial and has a strong genetic component. In a s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: First of all, the treatment for any type of leukemia should be coordinated by a hematologist/oncologist. To answer your question, chemotherapy is usu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: A blood test (cbc with morphology) is usually the initial test when a diagnosis of leukemia is suspected. Afterwards, the studies that are necessary ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Myelodysplastic syndromes (mds) represent a group of bone marrow cancers similar to leukemias in many respects but usually with a less aggressive evol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Usually a lymph node biopsy is necessary to establish the diagnosis unquestionably.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Probably not: Lymphoma, unlike leukemia, takes a while to involve the bone marrow and/or peripheral blood, therefore the blood count is frequently normal, especiall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Oncologist: Immediate consult with his oncologist is recommended since frequent uncontrollable bleeding in a patient previously diagnosed with leukemia may indica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Cll stands for chronic lymphocytic leukemia, a form of blood cancer. Cll is usually not an aggressive form of leukemia and has a relatively good prog... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: The only known complete cure for cll is stem cell transplantation; however, many patients do not need any form of therapy in the beginning and treatme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: Myelodysplastic syndrome (mds) is a form of bone marrow cancer that is generally less aggressive than leukemia but nevertheless still malignant. Mds u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Hard to say...: Many times we don't know what causes leukemia or lymphoma, irrespective of type. The process is probably multifactorial and has a strong genetic compo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: A common cause of increased WBC is represented by infectious/inflammatory conditions; however, other clinical associations are possible including more... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Multiple: Leukemia can present with multiple signs and symptoms including but not limited to: bone pain, refusal to bear weight, gum bleeding, bleeding from oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: If there are signs and symptoms suspicious of leukemia, the initial test is usually a blood test (cbc with differential and morphology) followed by a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Agos Luca
Specializes in Pathology
Not necessarly...: The diagnosis of lymphoma relies on a constellation of clinical signs and symptoms subsequently confirmed by lymph node biopsy. Even though there is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Hard to say...: Lymphoma, unlike leukemia, takes a while to involve the bone marrow and/or peripheral blood, therefore the blood count is frequently normal, especiall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Agos Luca
Specializes in Pathology
See below...: These findings are abnormal and should be discussed with your physician. You may have an infection but other causes are possible, too. It is also im... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: This is not standard terminology and may be confusing. It may mean acute myeloid leukemia which is a type of blood cancer, like any other leukemia. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
See below...: The glands you are talking about are probably enlarged lymph nodes. If the enlargement is persistent and does not react to antibiotics, a lymph node ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Agos Luca
Specializes in Pathology
Probably: I am not sure exactly what you mean by lma but if you mean acute myeloid leukemia (AML) versus acute lymphoblastic leukemia (all), then you're basica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Agos Luca
Specializes in Pathology
Unlikely: Any family history of cancer, especially in first degree relatives, may slightly increase the risk, but the chances are still very small.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Agos Luca
Specializes in Pathology
Possible: Certain medications used for chemotherapy have significant adverse effects including cardiac toxicity, so what you describe is possible. Usually, if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Agos Luca
Specializes in Pathology
No...: The general answer is no. However, certain types of hyperplasia may accompany or precede lymphomas. For example, progressive transformation of germi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
Multiple ways: Leukemia, like any other type of cancer, can be cured in a variable proportion of cases. In many other cases where complete cure is not possible, lon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Agos Luca
Specializes in Pathology
It depends...: The prognosis of leukemia is highly variable function of multiple factors including type of leukemia, age of the patient, stage of disease, coexisting... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Agos Luca
Specializes in Pathology
Normal: The normal WBC range is generally 4000-11000. So yours is still within normal limits. Normal black and middle eastern persons may have lower wbc.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
162
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Luca is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Luca is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Info: WBC: 8.3 / on 12/2013 - 7.3. Monocytes% -11.7/ on 12/2013 - 9.0
HealthTap member
Thank you, your answer was very helpful! They said my TSH is normal,But its high.Didnt test t4,Will request it
HealthTap member
Thank you, your answer was very helpful! Thank you very much Doc. I'll act at my earliest convenience.

Education & Training

Medical/Graduate school

Institute of Medicine and Pharmacy in Tirgu-Mures, Romania
MD

Residency

UNIVERSITY OF ILLINOIS HOSPITAL
Completed 2004

Awards

Top Pathologist, Third Place, National - Spring
2014
Top Doctor, Second Place, Washington Region - Spring
2014
HealthTap Founding Doctor

Affiliations

United States and Canadian Academy of Pathology
College of American Pathologists
Society for Hematopathology
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