Diagnosed/Undiagnosed

[Guest guest]

I am a 64 year-old woman who saw a haematologist/oncologist in

Toronto on November 12 of this year. My GP had provided him with the

last two years of blood test results. My lymphocytes had been in the

4 to 6 range since 2006 and my WCB was 10.1 on the last test. The

haematologist said he was 99% sure that I had CLL and that I did not

need treatment at this time and I may never need treatment. He said

more blood tests would provide better prognostic information for our

next meeting in March 2009.

After a many phone calls I finally received the blood test results

and a letter to my GP from the haematolologist. Handwritten at the

bottom of the letter he wrote, " P.S.: Flow cytometry does NOT show

evidence of a monoclonal population; therefore 0 evidence for CLL.

(But will still see in F/U.) "

Here are the results that are out of the normal range (except for

proteins):

Analytical Haematopathology:

White Blood Cell 10.48

Rapid Blood Chemistry:

MDRD GFR Estimate Pl .64

Proteins:

IgG, IgA, IgM all within normal range

Automated Differential:

Lymphocyte 4.82

T & B Cells Phenotype:

CD3 84.0

CD4 76.2

CD138 0.8

CD103 1.7

CD19 14.1

Comments:

No clonal B cell population is detected. There is a mild relative

increase in CD3+, CD4+, CD5+ (sic) T lymphocytes. Clinical

correlation is required.

Serum Protein Electrophoresis:

Alpha-2 Globulins 12.5

Comment: No evidence of monoclonal immunoglobulin.

So it seems I do not have CLL. What would be the reason for a follow-

up? What could be causing the increase in WCB, lymphocytes and T and

B cells? And what does the low MDRD GFR Estimate Pl mean? Should I

get a second opinion?

Thank you in advance for any information you provide.