Expert: Neha Dahiya MD - 6/4/2009

Question
Hello, for the past 3 years I've Been experincing fatigue night sweats occasional swollen lymp nodes that are painfull but seem to go away in a month or so. I have one now that is not painfull and rather small. I've had high WBC for 3 years. I had blood work done and was wondering if this was any indication of cancer.

WBC normal range. 3.9-11.0 mine, 13.5
RBC 4.82
Hemoglobin 15.2
Hematocrit 44.7
Mean Corpus volume 92.8
Mean corpus Hemo 31.5%
Mean Corpus Hemo Concentrate 34.0%
Red cell Dist width 12.3%
Platlet 284 th/cmm
Mean Platlet Vol. 9.8
Segmented Neurophilis percent 56.4%
Segmentd Neurophilis number 7.6
Eosino Percent 3.5%
Eosino num, .5
Baso Percent .2%
Baso no. .0
Lymphocyte Percent 26.9%
Lymphs Num. 3.6
Monocytes Percent 13.0%
Monocytes Num 1.7

Metabolic panel:
Glucose: 97
BUN 14
creatinine 1.0
Sodium 140
Potasium 5.0
Chloride 104
Carbon Dioxide 30
Calcium 9.9
Bili, total .3
Alk Phos 85
GOT (AST) 48
GPT (ALT) 92!!
Protein total 7.4
Albumin 4.8
GFR >60.00

TSH 1.954

TGL 173

CHOL 161
HDL ChOL 44.7
LDL,Calculated 82

Sorry So long, I am a 21 year old male by the way anything you can tell me would be great thanks a bunch.  

Answer
Hello Brandon:

Your Blood tests are absolutely fine and there is nothing which suggests cancer.

The only out of range test is that of the two liver enzymes
AST and ALT

Now with other tests being normal this could be result of muscle injury...seen in young adults who lead active lives and exercise a lot.
Other reason could be fatty liver....if your alcohol intake is high / diet rich in fatty foods etc

Or could be some form of inflammation / disease of liver. In any of the above conditions these enzymes are raised

The lymph node enlargement with pain and fatigue may or may not be related to the liver. You can have your primary care physician do a complete exam and correlate the findings.