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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Enlarged Spleen, CBC And Mono Test Negative, Has Severe Pain. Leukemia?

I brought my daughter into a family physician on Wed of this week. They diagnosed her with an enlarged spleen . They checked her blood , full CBC and mono test, which came back negative. She is 17 years old, they feel that it is swollen because of a viral infection. My concern is she still is in lots of pain AND her sister, now 19 had acute myeloid leukemia at 11. I am very concerned as I looked on the internet and this can be a cause of leukemia. What should I do now?? Both to put our mind at ease and to help her pain.
Tue, 23 Oct 2012
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
There are many causes of spleen enlargement,her CBC and Mono test are normal,so do not worry but as there is family history of AML,just wait and watch and keep her under medical supervision.
Blood test can be repeated and if Hematologist thinks it is appropriate a bone marrow examination can be done.
One should be positive ,I hope spleenomegaly will regress or other cause if any will be detected and treated and she should be better soon.
Best of luck
Take care.
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Diagnosed With Enlarged Spleen, CBC And Mono Test Negative, Has Severe Pain. Leukemia?

Hi, Welcome to HCM, There are many causes of spleen enlargement,her CBC and Mono test are normal,so do not worry but as there is family history of AML,just wait and watch and keep her under medical supervision. Blood test can be repeated and if Hematologist thinks it is appropriate a bone marrow examination can be done. One should be positive ,I hope spleenomegaly will regress or other cause if any will be detected and treated and she should be better soon. Best of luck Take care.