A member asked:

I have been very very fatigued lately. i'm a 62 yr female had lung cancer 2012 and upper left lobe removed. my blood work keeps coming back high immature platelet fraction,alkaline phosphates high,mchc is low and high hemacrit. should i worry?

4 doctors weighed in across 3 answers
Dr. Jerome Zacks answered

Specializes in Cardiology

It's ideal for a patient with a history of lung cancer to be followed by a team of doctors, including a pulmonologist, thoracic surgeon, an oncologist and a cardiologist. In addition, with a history of abnormal hematologic tests, a hematologist should be a member of the team.

Answered 5/7/2022

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There are many details needed that are missing to address your concerns. I suggest you speak to a doctor that can see the entire picture. The lab valves need actual numbers and need to be correlated with the physical examination. I wish you well

Answered 5/8/2022

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I agree with Dr. R's advice. Your high Hct & high number of immature platelets may be from bone marrow stimulation caused by pulmonary disease and resection. High alk phos is seen with liver or bone pathology which may be cancer related. High alk phos is also seen in certain hematological malignancy. Your hemeoncologist is best to advise you.

Answered 5/8/2022

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