Hi,
In
leukemia, the
WBC count could be high and as it is ruled out, we have to look at other causes.
One possibility I can think of is a malignant
tumor from other location, infiltrating into
bone marrow, displacing the cells leading to high counts. This condition is called as leukoerythroblastic picture.
If there is tumor in other places, chemo would be planned.
If you talk in counts and it is reduced,
anemia is a manifestation of many cancers and due to spillover of WBC into peripheral blood, the count could be high.
However, if your dont know the tumor, if you give me more symptoms, more report details and type of chemo planned, I can help you more.
Any further queries, happy to help again.
Dr. Jyothi BL