17 doctors weighed in:

What can low platlet count mean in a advanced / terminal cancer patient. ?

17 doctors weighed in
Dr. Sewa Legha
Internal Medicine - Oncology
5 doctors agree

In brief: It depends on many f

There are many interpretations to your question.
If you can tell us two items: What type of Cancer does the patient have? What is the complete blood counts report including Hb, WBC and Platelet count. Platelet counts can be low yet quite safe unless the count is dropping below 50, 000. There is some risk of excessive bleeding once the platelet count is below 20,000.If the patient is terminal, noth

In brief: It depends on many f

There are many interpretations to your question.
If you can tell us two items: What type of Cancer does the patient have? What is the complete blood counts report including Hb, WBC and Platelet count. Platelet counts can be low yet quite safe unless the count is dropping below 50, 000. There is some risk of excessive bleeding once the platelet count is below 20,000.If the patient is terminal, noth
Dr. Sewa Legha
Dr. Sewa Legha
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Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: Many things r possib

can be caused by several things including: -side effect of some chemotherapy; involvement of the bone marrow; certain nutrition deficiency- like vit B12; could be related to platelet consumption -related to the cancer- like in the case of chronic DIC, could be related to other destruction to plt related to chemo/medication; vs others- bleeding, spleen sequestration etc.

In brief: Many things r possib

can be caused by several things including: -side effect of some chemotherapy; involvement of the bone marrow; certain nutrition deficiency- like vit B12; could be related to platelet consumption -related to the cancer- like in the case of chronic DIC, could be related to other destruction to plt related to chemo/medication; vs others- bleeding, spleen sequestration etc.
Dr. Liawaty Ho
Dr. Liawaty Ho
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Dr. Ed Friedlander
Pathology
2 doctors agree

In brief: Lots of things

Tumor in bone.
Portal vein compressed causing hypersplenism. Disseminated intravascular coagulation. Liver largely gone making too little thrombopoietin. Other ideas.

In brief: Lots of things

Tumor in bone.
Portal vein compressed causing hypersplenism. Disseminated intravascular coagulation. Liver largely gone making too little thrombopoietin. Other ideas.
Dr. Ed Friedlander
Dr. Ed Friedlander
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Dr. Robert Kwok
Pediatrics
1 doctor agrees

In brief: It means somebody...

A low platelet count in an advanced, terminal cancer patient means that somebody is still doing lab tests (poking the patient to get blood samples and running tests).
Time in this world is short for such patients, and the things of importance are peace, comfort, and releasing worries. It usually should not matter what test results show (the time for tests and results has passed).

In brief: It means somebody...

A low platelet count in an advanced, terminal cancer patient means that somebody is still doing lab tests (poking the patient to get blood samples and running tests).
Time in this world is short for such patients, and the things of importance are peace, comfort, and releasing worries. It usually should not matter what test results show (the time for tests and results has passed).
Dr. Robert Kwok
Dr. Robert Kwok
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Dr. Rawhi Omar
Pathology

In brief: Cancer cachexia

Patients with terminal cancer become severely malnourished and anemic.
This by itself affects the production of their blood components that are made in the bone marrow (red and white blood cells and platelets). Chemotherapy also suppresses the bone marrow causing pancytopenia (reduced blood cell counts). Some cancer types are associated with increased blood clotting which consumes many platelets

In brief: Cancer cachexia

Patients with terminal cancer become severely malnourished and anemic.
This by itself affects the production of their blood components that are made in the bone marrow (red and white blood cells and platelets). Chemotherapy also suppresses the bone marrow causing pancytopenia (reduced blood cell counts). Some cancer types are associated with increased blood clotting which consumes many platelets
Dr. Rawhi Omar
Dr. Rawhi Omar
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Dr. Lewis Hassell
Pathology

In brief: Low Platelets

Falling platelets from CRC advanced stage could mean one of two things-- delayed toxic effect of chemotherapy or other medication, or failing bone marrow from metastatic disease.
Spontaneous hemorrhage usually isn't a risk until the plt count falls below 10k, so transfusions are often given to prevent that complication, even in otherwise terminal conditions. Best luck.

In brief: Low Platelets

Falling platelets from CRC advanced stage could mean one of two things-- delayed toxic effect of chemotherapy or other medication, or failing bone marrow from metastatic disease.
Spontaneous hemorrhage usually isn't a risk until the plt count falls below 10k, so transfusions are often given to prevent that complication, even in otherwise terminal conditions. Best luck.
Dr. Lewis Hassell
Dr. Lewis Hassell
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Dr. Silviu Pasniciuc
Internal Medicine

In brief: Low platelets

In advanced cancer may suggest marrow invasion by the malignant cells +/- consumptive coagulopathy where the platelets are destroyed due to ongoing inflammation.

In brief: Low platelets

In advanced cancer may suggest marrow invasion by the malignant cells +/- consumptive coagulopathy where the platelets are destroyed due to ongoing inflammation.
Dr. Silviu Pasniciuc
Dr. Silviu Pasniciuc
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