### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi my daughter is 17 years old. She has been in and out of the hospital three times in the last 3 1/2 months. They did a cat scan and several tests the first time. Her white blood cell count and platelets were at the high end of normal. She had several ovarian cysts that were 4 cm in size. They burst and her pain was relieved. Following up with her primary and GYN tests were run. at about six weeks and her platelets rose a bit and testosterone was elevates. GUN put her on birth control to ease the enlargement of the cysts. Then about a month ago now she landed back in the hospital. Another cat scan and blood work revealed three lynphnodes attached to her intestines that attach to the abdominal wall were enlarged, very painful and her white blood cell count went up again. We were referred to an endocrinologist and gastroenterology but had to cancel the appointments last week due to their offices closing for Hurricane IRMA. I went and received the third round of blood work today from her primary and the count is up again to 444 which I was told is high but not astronomical. We were now referred to an oncologist / hymoptologist. Please tell me what you think.

### output:

After hearing you history as your daughter is having high white blood cell count and platelets and scan reveled 3 lymph nodes in intestine I would advise you to do a biopsy test of the enlarged lymph nodes. A biopsy test is a simple test were a needle is inserted to take out specimen and looked under microscope. I will also advise you to do a colonoscopy test and blood test for tumor marker CEA and CA 125 Regards Chat Doctor. 