A female asked:
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i have cervical lymph node, my platelet count is 330.00,lymphocytes is 39.00,low hct/pcv, mcv, mch,mchc,rdw &wbc 4.32, the lymph is not soft and large?

3 doctor answers
Dr. Ed Friedlander
43 years experience Pathology
Work up anemia: Nothing else that you have told me has me worried in the least. You do need to find out why you are anemic (low hct/pcv). Unless it's obvious from diet and/or very heavy monthly loss, a serious investigation is in order.
Answered on Dec 20, 2014
Dr. Martin Rubenstein
44 years experience Hematology and Oncology
Not enough info.: The CBC numbers are normal. Regarding the lymph node, there is concern if there are symptoms like weight loss, fever, night sweats. If the node is very hard, or if greater than 1 cm in size, and has persisted for more than a month and is clearly not related to an infection biopsy is a possibility. Absent those findings, lymph nodes are usually just observed. Low PCV, MCV &MCV--? iron deficient
Answered on Dec 23, 2014
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1 thank
Dr. Milton Alvis, jr
40 years experience Preventive Medicine
Mixing up issues: Lymph nodes are filters, full of WBCs, within the lymphatic vessels returning extracellular water (water around cells which has not been picked back up from bulk capillary leakage of plasma, body wide) back into the blood stream. If specific WBCs in a node respond to something passing through, they multiply enlarging the node. This is healthy response to infection, toxins, (rarely cancer), etc.
Answered on Dec 20, 2014
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1 comment
Dr. Milton Alvis, jr
40 years experience Preventive Medicine
Provided original answer
The CBC data: WBC concentration & Lymphocytic cell subfraction, RBC concentration, average RBC hemoglobin & Hb concentration, plus platelet concentration from a Coulter counter run of a sample of your whole blood reveals little to nothing about what is going on in an isolated lymph node within the lymphatic portion of the immune system from one portion of your body; all outside the blood stream.
Dec 20, 2014

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Dr. Clarence Grim
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Red cell indices: My test results are Hemoglobin 12.8 Hct 42.7 rbc6 Mcv 71.4 Mch 21.4 Mchc 30 Rdw 15.9 Wbc 8000 Platelet 345000 Is there something wrong with me? Thank ... Read More
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A 46-year-old female asked:
Dr. Ed Friedlander
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This is serious: You have a microcytic anemia, with the high platelets probably iron deficiency. You owe it to yourself to find out why you are anemic, as well as seek ... Read More
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U R seriously sick: This is probably iron deficiency. Even if you are a non-supplementing vegetarian, there's almost certainly something seriously wrong. You have a bleed ... Read More
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A 32-year-old male asked:
Dr. Ed Friedlander
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Can't tell : There are many possibilities but of course it is cancer until proved otherwise. Insist in a speedy work up and full explanations.

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