human
Bloodwork check pleaseAge: 28, sex: female, height: 51, weight: 105 lbsplease advise on this bloodwork. My doc said its fine but Im unsure. Cuz it looks not fine. I attached previous tests for comparison.Automated Hematology WBC 13.6 x103/mcL (High) Date: Feb 22, 2023 10:46 a.m. EST Reference Range:4.5 x103/mcL - 11.0 x103/mcL7.2 x103/mcL Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:4.5 x103/mcL - 11.0 x103/mcL8.6 x103/mcL Date: Dec 14, 2021 09:48 a.m. EST Reference Range:4.5 x103/mcL - 11.0 x103/mcLNeutro Auto 76.8 % (High) Neutro Auto Date: Feb 22, 2023 10:46 a.m. EST Reference Range:42.0 % - 72.0 %56.2 % Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:42.0 % - 72.0 %48.8 % Date: Dec 14, 2021 09:48 a.m. EST Reference Range:42.0 % - 72.0 %Lymph Auto 17.9 % (Low) Lymph Auto Date: Feb 22, 2023 10:46 a.m. EST Reference Range:25.0 % - 45.0 %36.0 % Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:25.0 % - 45.0 %44.1 % Date: Dec 14, 2021 09:48 a.m. EST Reference Range:25.0 % - 45.0 %Neutro Absolute 10.41 x103/mcL (High) Date: Feb 22, 2023 10:46 a.m. EST Reference Range:1.40 x103/mcL - 6.50 x103/mcL4000 IntlUnit/L Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:1400 IntlUnit/L - 6500 IntlUnit/L4200 IntlUnit/L Date: Dec 14, 2021 09:48 a.m. EST Reference Range:1400 IntlUnit/L - 6500 IntlUnit/LBUN 6 mg/dL (Low) Date: Feb 22, 2023 10:46 a.m. EST Reference Range:8 mg/dL - 21 mg/dL9 mg/dL Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:8 mg/dL - 21 mg/dL10 mg/dL Date: Dec 14, 2021 09:48 a.m. EST Reference Range:8 mg/dL - 21 mg/dLBUN/Creat Ratio 7.5 mg/dL (Low) Date: Feb 22, 2023 10:46 a.m. EST Reference Range:10.0 mg/dL - 20.0 mg/dL11 Date: Jun 23, 2022 10:52 a.m. EDT Reference Range:10 - 2014 Date: Dec 14, 2021 09:48 a.m. EST Reference Range:10 - 20
gpt
Do you have any symptoms? Your BUN will be slightly low because you're a small person. Your WBC and neutrophils are slightly high, which is consistent with an acute infection or inflammation, but difficult to comment without context.
Papilllary thyroid cancer- RAI or notI'm a 30 F,Height 5'10, weight 139, caucasianPapillary thyroid cancer, total thyroidectomy with central neck disscection March 1st 2022Pathology showed classical papillary thyroid cancer, hematological invasion: No, Extrathyroidal invasion: No, lymph node invasion: yes, biggest 0.7 cm, 6 lymph nodes with many having psamomma bodies( did not detail in report). Should I get RAI? I can't self diagnose but im in intermediate category. No genetic testing because my cancer is not genetic?Do you think RAI is appropriate for me? I'm scared go getting a second cancer, salivary glands going and having bad teeth, etc.No known history of radiation exposure or family historyNon-smoker, Non-drinker, Non-recreational drug user- not really relevant
This decision depends on a number of factors to include number of nodes, size of primary lesion, etc. Based on your description, it sounds like you had a number of nodes that had papillary thyroid carcnioma. which would put you within the intermediate risk group based on the american thyroid association below (I've highlighted the pertinent criteria:ATA intermediate risk (520%) category includes patients with: (i) microscopic invasion of tumor into the perithyroidal soft tissues; (ii) aggressive histology (e.g. tall cell, hobnail variant, columnar cell carcinoma); (iii) PTC with vascular invasion; (iv) clinical N1 or >5 pathologic N1 with all N1 <3 cm in largest dimension; (v) multifocal papillary microcarcinoma with microscopic invasion of tumor into the perithyroidal soft tissues and BRAFV600E mutation (if known); tumour larger than 1 cm with BRAF v600E mutation could confer an intermediate risk of recurrence but has not been proven yet, based on a prospective study.In these cases, it can go either way based on discussion with your endocrinologist. Some will monitor thyroglobulin levels and obtain serial ultrasound, some will recommend RAI. In young patients (<45 years) there isn't a lot of great evidence to say RAI improves survival in those with small central compartment nodes.The decision all depends though on your specific risk factors and various other aspects of health that are outside the realm of feasible determination just through an internet post. Work with your endocrine provider, discuss risks, benefits of each; and you can likely come to decision as to what is best for you.