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The white blood cell count can be high, low or even normal depending on the type the leukemia and phase of the disease in which it is detected. Extremely high or low white blood cells can alert a physician to the possibility of leukemia, however there are a variety of disorders can alter white cell counts. Furthermore abnormal white blood cell counts are not diagnostic of leukemia; that determination is made by examination of a blood sample by a trained pathologist as well as the presence of the particular genetic mutations on white blood cells..
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