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Guidance on regular blood test report
Sir/ma'am
Good morning. Mt father aged 70, oral scc stage 4A patient of buccal mucosa scc had completed entire chemo. radio. and surgery procedure a year ago. He is presently not having any issue. He went for his regular blood test with endocrinology department for sugar levels , we got his report. Kindly share your valuable feedback regarding his vitals , is he doing good? When can we expect his lymphocytes and neutrophils to come back to normal range?
Ps: Post radiotherapy (igrt) he was diagnosed with Thyroid disease and is on regular medication. Report attached.
Answers (1)
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Dr. Savio James
Radiation Oncologist
8 yrs exp
Cochin
Moderately elevated ESR and slight neutrophil predominance could be correlated clinically based on detailed history . It’s unlikely to be associated with any cancer related change , but could be due to some of post radiotherapy complications.
Post radiotherapy thyroid deficiency is a very common post radiation complication- and it will be fine if you can continue tablet and do TSH blood test every 6 monthly .
Some post radiotherapy / chemotherapy changes in oral cavity could lead to dental/gastric problem which could be the reason for elevated ESR/ and neutrophil levels. If he is not having any other site of infection or inflammation.
I would recommend you to consult me online for detailed discussion and regular follow up advises.
Also would recommend use of saliva substitutes regularly for him if there is dryness in his mouth .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.