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Is A Bone Marrow Biopsy Necessary If A Blood Flow Cytometry Test Shows No Results?

A MyLeukemiaTeam Member asked a question 💭
Tyler, TX

My oncologist is still thinks I may have CLL. My lymphocytes have gone down from 10.8 to 7.3 in 1 days. Then they went down to 4.08. My AST went from 188 to 164 in 1 day. Then they went down to 41. My ALT went from 357 to 330 in one day. Then they went down to 136. The oncologist wants to do a bone marrow biopsy because my liver enzymes are still high, even though they are trending down. I did have an enlarged spleen too. I am confused.😭

May 28, 2024 (edited)
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Reactions
A MyLeukemiaTeam Member

That is confusing for sure. Maybe express your concern to your oncologist? Also consider a second opinion?

May 28, 2024
A MyLeukemiaTeam Member

This is the reply I got from my oncologist. Which by the way, I already have an appointment next week with her.

May 28, 2024
A MyLeukemiaTeam Member

I do not think your medical people know what is happening regarding your health. I take medication and my white blood cell (WBC) count is 7,100. I do not know if I have any organ damage since this was never checked except for the special touch & feel to check for something under the ribs? I think when medical people fail to respond with simple answers they are saying they do not know? These are cancer doctors and they know a little about each cancer so if you have a leukemia blood doctor then you may have someone who may provide a valid answer.

July 23, 2025
MyLeukemiaTeam

A bone marrow biopsy can be necessary if a blood flow cytometry test shows no results. Bone marrow tests, including biopsies and aspirations, provide vital insights into the nature and extent of leukemia that blood tests alone might not reveal. These tests can help diagnose blood cancer, identify the type of leukemia, and Show Full Answer

A bone marrow biopsy can be necessary if a blood flow cytometry test shows no results. Bone marrow tests, including biopsies and aspirations, provide vital insights into the nature and extent of leukemia that blood tests alone might not reveal. These tests can help diagnose blood cancer, identify the type of leukemia, and determine effective treatments.

May 28, 2024

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