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Immature granulocytes (meta, myelo and promyelocytes) in peripheral blood

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q66815
q66815

I have been experiencing generalised lymphadenopathy, fatigue, slightly swollen spleen and other symptoms but haven't been able to get to the bottom of it yet.

Labs have fluctuated from the lower end to upper end of normal range for lymphocytes and neutrophils.

Immature granulocyte % has gradually been increasing from 0.3 to the most recent value of 0.8 this week. The lab tech left a note stating "includes meta, myelo and promyelocytes. Clinical correlation suggested".

What does this mean if anything? Everything I read online says the presence of these cells outside the bone marrow can indicate leukemia. What sort of follow up tests would be recommended?

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