15 month old with enlarged lymph node...

15 month old with enlarged lymph node and low neutrophils with burr cells

Posted in the Oncology Forum


Warrensburg, MO

#1 Aug 27, 2011
My 15 month old daughter has had a large cervical lymph node (about 3cm) that her doctor "didn't like the shape of" and suggested we wait a week and then go for biopsy. She has no symptoms of illness whatsoever. She has some "balance" issues and her gums bleed when I brush her teeth, but she has energy and no indication that she ill. I suggested blood work so a CBC w/differential, sed rate and C-reactive protein was ordered. Results were that absolute neutrophil count was 474, below normal range and platelets were elevated to 474. There was a comment on the results that said Burr cell 2+. I haven't spoken to my doctor directly, but her receptionist called to tell me that blood work was "negative". I can't speak with my doctor for a couple of days so I was concerned being a lay person, I don't understand how neutrophils can be low and results be negative? My daughter has pectus excavatum and has echocardiograms every 6 months to make sure there's no changes in her heart because of the chest deformity. We just had an echo within the last couple weeks and it was normal. So, the cardiologist didn't see anything abnormal in her chest that would indicate I should be concerned about lymphoma. I am just worried and I have only seen our pediatrician a couple of times since we just switched to her. I don't know her well enough to have confidence. Any thoughts on all this?

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