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White Blood Cell Count After Neulasta

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Topic: White Blood Cell Count After Neulasta
Posted By: abcmom
Subject: White Blood Cell Count After Neulasta
Date Posted: May 10 2010 at 1:19pm
Hi- I was wondering if any of you knew how long it takes for your white blood cell cound to go down and get back to normal after Neulasta.  I had my last chemo on 4/21 and my last Neulasta on 4/22 and I had to go to another doctor's appt the other day on 5/6 and my count was 21,000.  They were quite alarmed and told me I needed to tell my oncologist.

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Diag 11/06/09 @ 40; Diag w/ TNBC Stage IIA, Grade 3 12/01/09 Node Neg. Dble MX with Recon 12/09 (twice)
Chemo 1/13/10 Chemo done 4/22/10 More recon surg 07/10, PET/CT Scan clear 07/10 NED 07/11



Replies:
Posted By: MaryinSarasota
Date Posted: May 10 2010 at 1:25pm
Hi Abcmom,

Some times mine would take almost two weeks. Just stubborn I guess. Hope this helps a little.

Take care,
Mary


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53 @ Dx 5/08 Stage 1, grade 3, IDC 1.6 cm, 0 nodes, TNBC, lumpectomy, chemo TAC-6, radiation-34 12/18/08
NED-10/09, PBM w/TE recon. 7/10, removal of TE/infec 8/10. CT chest. Rec fat-graft & stem cells


Posted By: NinaE
Date Posted: May 10 2010 at 2:56pm
I think 21000 is high, not low, if I'm not mistaken. But please double check that!

When that happened to me, my onc did a quick work-up to see if I had an infection. They couldn't find anything, so I was told the neulasta sent my white blood cell production into overdrive.

A month earlier, on a different chemo, I ended up hospitalized for a low WBC though. So it seems to vary quite a bit for no obvious reason. 

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Stage IV at dx in Dec 09, at age 38. Mets to lung, axillary, IM and mediastinal nodes.

4xAC-->dd Taxol. Dbl mast, 6/10. Radiation, 8/10. NED since June 2010.


Posted By: abcmom
Date Posted: May 10 2010 at 3:47pm
Thanks.  I can always count on every one here to help me figure things out.  I really appreciate everyone here! Hope everyone had a good mother's day!

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Diag 11/06/09 @ 40; Diag w/ TNBC Stage IIA, Grade 3 12/01/09 Node Neg. Dble MX with Recon 12/09 (twice)
Chemo 1/13/10 Chemo done 4/22/10 More recon surg 07/10, PET/CT Scan clear 07/10 NED 07/11


Posted By: 123Donna
Date Posted: May 10 2010 at 4:31pm
I remember the last time my wbc was taken it was 3.8 (000), which was a little lower than the normal.  I think the normal range was somewhere around 4 - 10 (000s).  

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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15




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