Question 2: How do you know if there is leukemia by looking at the blood routine Acute leukemia most patients with leukocytosis, more than 10 × 10^9/L or more is called leukocytoclastic leukemia. There are also white blood cell counts that are normal or reduced, and the lower ones can be <1.0×10^9/L, which is called leukocytoclastic leukemia. Varying numbers of primitive and/or na?ve cells can be seen on blood smear sorting, but it is difficult to find primitive cells on the blood film in leukocytoclastic cases. Patients often have varying degrees of normocytic anemia, and juvenile red blood cells can be found in varying sizes on blood films in a few patients. Platelets are less than 60 x 10^9/L in about 50% of patients, and platelets are often extremely reduced in advanced stages.
Chronic granulocytic leukemia leukocytes are significantly increased, often more than 20 × 10^9/L, often below 50 × 10^9/L in the early stage of the disease, and significantly increased in the late stage, up to more than 100 × 10^9/L. There is a significant increase in the number of granulocytes in the blood film, and granulocytes of all stages can be seen, with the predominance of neutral neutrophilic, late juvenile, and rod nucleated granulocytes; the primitive granulocytes are less than 10%, and are usually 1% to 3%; eosinophils and basophils are increased, the latter is helpful for diagnosis. Platelets are mostly at normal levels in the early stages of the disease, and increase in some patients; thrombocytopenia is seen in the late stages, and anemia develops.
The blood picture of chronic lymphocytic leukemia is persistently lymphocytic. Leukocytes >10×10^9/L, lymphocytes account for more than 50%, absolute values ≥5×10^9/L (lasting more than 4 weeks), with predominantly small lymphocytosis. A few young lymphocytes or atypical lymphocytes are seen, and fragmented cells are easily seen. Neutrophil percentage is decreased. As the disease progresses, thrombocytopenia and anemia become progressively more pronounced.
Question 3: How to check out leukemia To test whether you are suffering from leukemia, the first recommendation is to choose some large authoritative institutions with complete medical testing facilities, so that you can ensure the quality of the body test, but also to ensure that the results of the test of the authoritative habits and accuracy. Deciding on the next step in the treatment process after dealing directly with the medical institution will ensure that the treatment process is secure and safe. Common tests for leukemia are as follows: ① The first thing to do is to do a routine test for leukemia hemoglobin and platelet count reduction. The total number of leukocytes varies, generally between 20.0 and 50.0 × 109 / L, a small number of higher than 100 × 109 or lower than 10.0 × 109 / L. More than half of the patients in the peripheral blood picture to see a large number of (sometimes as high as 90%) abnormal primitive leukocytes. Chemical staining of blood cells is used to determine the type of acute leukemia, and chromosomal abnormalities are present in about 45% of cases, including haploid, hyperdiploid, and various marker chromosomes. The bone marrow is hyperproliferative, markedly active or extremely active, with a predominance of leukemic cells. Primitive cells in the bone marrow >6% is suspicious, more than 30% the diagnosis is more certain, primitive cells early (young) cells ≥ 50% can confirm the diagnosis. In the whole bone marrow, the red lineage and megakaryocytes are highly reduced. In the blood and bone marrow image is not enough to confirm acute leukemia, can be applied to lymph node puncture fluid smear and specific skin lesion prints to find the corresponding leukemia fine combined with pathological prints, help diagnosis. ② Blood biochemical examination of terminal deoxynucleotidyl transferase (TDT): the activity is increased in ALL, but inactive in ANLL. Alkaline phosphatase (AKP): evident in ALL and significantly decreased in AML. Lactate dehydrogenase (LDH): significantly increased in ALL. In addition serum uric acid concentration is increased and urinary excretion of uric acid is increased, more so when treated with cytotoxic drugs. Through the above examination, basically can be initially concluded that a participant in the examination of whether leukemia, the climate also need to bring the results of the patient to a professional doctor to sit into a book of results analysis. After specialized guidance, the scientific conclusion can usually be determined. Just in case, the patient can also carry out a number of rotating diagnostic way to confirm the diagnosis, but it is worth noting that the test leukemia medical equipment radiation is more, do not expect frequent examination, so as not to "create something out of nothing". Clinical patients reflect ginsenoside Rh2 (protect life) can increase immunity and resistance, take good absorption without fire, conditioning the body, inhibit the growth and proliferation of cancer cells, improve the success rate of surgery.