Low white cell count post radiotherapy

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I had my hysterectomy in Jan 22, and radio April-May 22. At my Dec 22 check up I mentioned to the oncologist that I was feeling a bit tired still, so she requested a repeat thyroid function test (I am already hypothyroid). My GP likes to get good value from blood tests so decided to also add in a full blood count and B12 check. Thyroid came back normal, B12 was borderline OK, but my white cell count was slightly low (below normal). A repeat full blood count after 6 weeks gave the same result. My GP was concerned it could be some kind of infection even though I had no symptoms.  I mentioned having had radio but he was a bit dismissive and said it was usually with chemo that that could happen. I then started taking a vitamin B complex supplement in case it would help. A second repeat 6 weeks after that showed a slight improvement, which was a relief, and a third repeat 6 weeks later (mid June) showed another slight improvement, almost normal. My B12 had improved too, I saw my oncologist last Friday for my check up, and told her about it, and she said that because the area covered by pelvic radiotherapy involves quite a lot of bone, and that means the bone marrow can be affected, resulting in lower white cell production. I’m almost back to normal now and not at all concerned, but I thought I’d mention it here as I’d not seen it mentioned here before.

  • Thanks that info is useful my meeting with the oncologist was quite overwhelming with all the side effects, so I’m at the stage where I’m waiting for it to start 25 sessions seems so daunting and long. 

    thanks 

    plod 

  • Hi Plod, they have to state all the possibles, even if they’re highly unlikely. Have you read the Radiotherapy Support thread? There’s lots of positive and encouraging posts on there which should help you feel better about things. My 25 sessions flew by. The actual radio part is typically about 5 mins. You get on the table, get into position and the machines whirr and bleep round you, first scanning to see if your bladder is full enough (this helps protect your bowel), and then a mini CT to make sure your position is within the measurement parameters from your planning CT. These two bits take about 10 mins IIRC. When these two things are done, then it’s the treatment. If you’ve had a few days where you’ve been within the right measurements first time, they sometimes skip the mini CT part which is nice as it makes it all quicker. The driving was a big chunk out of my day, and the waiting around annoying, but the treatment itself wasn’t really an issue at all.