My dog's blood work is normal. Could it still be stage 4 lymphoma?

Question

Do normal blood levels (platelet and white blood counts), rule out stage 4 lymphoma cancer? Pet's info: Dog | Pit Bull Terrier | Female | spayed

Dr. Massimo Orioles, DVM, Cert AVP, MRCVS · Accepted Answer

Usually more than elevated number you can find atypical blood cells (lymphocytes) in peripheral blood. Atypical means that their shape is unusual and suggestive of possible cancer. If no atypical cells are present and liver and spleen are not involved stage IV is ruled out. Stage V features include involvement of blood, bone marrow, central nervous system, or other organs (other than spleen or liver).

My dog's blood work is normal. Could it still be stage 4 lymphoma?

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