Lower lymphocytes following chemo--2 years later

Posted by jals @jals, Mar 20 4:18pm

Assume 0.73×10(9)/L lymphocyte count would make one somewhat compromised even though it’s two years after chemo and in remission. To what extent would one be compromised? Mayo lab range is .95-3.07×10(9)/L. Is count likely to return to desired range at some time?

Hi @jals, You'll notice that I also added your message to the Blood Cancers group https://connect.mayoclinic.org/group/blood-cancers-disorders/

As a cancer patient, even 2 years post chemo, I would take necessary precautions as is recommended for immunocomprised patients. To reduce infection:
– Avoid contact with people who are sick.
– Practice social distancing.
– Wash your hands often with soap and water, or use an alcohol-based hand sanitizer.
– Avoid touching your eyes, nose and mouth if your hands aren't clean.
– Determine who can care for you if you become ill.

Read more in this article:
COVID-19: What patients with cancer should know https://newsnetwork.mayoclinic.org/discussion/covid-19-what-patients-with-cancer-should-know/

I believe your are saying that your current lymphocyte count is 0.73×10(9)/L and you would like to know if it will return turn within normal lab range. Because everyone is different, that is certainly a good question for your doctor or oncologist. There are many individual factors that your doctor will know more about, like age, underlying or additional conditions you have, overall health status, etc that she/he will consider.

May I ask, what type of cancer did you have?

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Thanks for your response, Colleen. I appreciate your insight and the reference to the article on newsnetwork.mayoclinic. . . . My diagnosis was diffuse large b cell lymphoma/dlbcl.

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@jals

Thanks for your response, Colleen. I appreciate your insight and the reference to the article on newsnetwork.mayoclinic. . . . My diagnosis was diffuse large b cell lymphoma/dlbcl.

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@jals – I’m so glad to hear that you are in remission! I agree that you should talk to your oncologist now to find out what your risks are. I had chemo for breast cancer 25+ years ago and since then my immune system seems compromised. Most recently I was treated with immunosuppressive meds for an autoimmune illness. My blood counts were acceptable, but I was sick often. I’m off now, but I still seem more fragile than I should be.

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@jals

Thanks for your response, Colleen. I appreciate your insight and the reference to the article on newsnetwork.mayoclinic. . . . My diagnosis was diffuse large b cell lymphoma/dlbcl.

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You’re welcome @jals. In addition to @astaingegerdm, I’d also like to introduce you to other members who have experience with Large B Cell Lymphoma such as @grandpabob @fwpoole @ckeys and @sbergerkinkade. You may also wish to add to this discussion:

> Groups > Blood Cancers & Disorders > Diffuse large B-cell lymphoma (DLBCL): R-CHOP-14 or 21 https://connect.mayoclinic.org/discussion/r-chop-14-or-21/

How are you doing with protecting yourself from infection?

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Hello @jals – I was treated for Large B cell Lymphoma in 2018, I subsequently had Car-T immunotherapy to combat it. I am currently in remission. I cannot speak to what levels affect a compromised system. I had an appointment with my doctor this last Monday. I was told that my immune system would not be able to handle any kind of serious virus. I was advised to quarantine myself, at least in the short term.

I echo Colleen and recommend you speak to your doctor about your specific situation.

Is this something you can do in the next short while?

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