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A monocyte is one type of white blood cell. In reporting the number of each type of cell in a blood test, you can either do it as a percentage of the whole or as an actual count (per unit volume). These two figures are called the relative and absolute counts.
A low monocyte blood cell count diagnosis is based on the results of a complete blood count from a sample removed from the patient's vein. A bone marrow biopsy may also be ordered to attempt to diagnose the cause of the condition.