Can the early symptoms of leukemia be detected through a complete blood count (CBC)?

Jul 01, 2024 Source: Cainiu Health
Disease description:

My friend has been experiencing frequent nosebleeds this week and always suspects having leukemia. So I would like to ask, can the early symptoms of leukemia be detected through a routine blood test?

Doctor's answer (1)
Dr. Liu Feng
The early symptoms of leukemia usually cannot be directly detected through a routine blood test alone. 1. Limitations of routine blood tests: Routine blood tests primarily evaluate the quantity and morphology of blood components. Although they may provide clues to leukemia, such as abnormally elevated white blood cell counts, anemia, or reduced platelet counts, these abnormalities can also be indicative of other diseases. 2. Complexity of leukemia: Leukemia is a complex hematologic malignancy. Its early symptoms may include anemia, fever, bleeding, joint pain, and hepatosplenomegaly, none of which are specific to leukemia. 3. Necessity for a definitive diagnosis: If a routine blood test reveals abnormalities, further specialized tests such as bone marrow aspiration and cytogenetic analysis are typically required to confirm a diagnosis of leukemia.