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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Enlarged Spleen With Multiple Masses?

I have an enlarged spleen with multiple masses. All tests have ruled out cancers. I have a low platlet count and a 6 when low is 30 for vitamin D. I am always sick and tired. Is my spleen not working? when should I have it removed? Is it riskier to keep it.
Fri, 27 Nov 2015
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). You have enlarged skin with low platelet count suggest that you are having hypersplenism with spleenomegaly. Your total leukocyte count would alsso be low. There are many causes of enlarged spleen like infection, myeloproliferative disorder, hyperplastic etc. I will suggest you to take opinion of Haematologist who may suggest for bone marrow procedure and manage accordingly.

Your spleen is working thats why your platelet has decreased

Only when there are complications like spontaneous bleed from any site, recurrent infections etc, then only spleenectomy is advised

No there is no risk until it causes complication
I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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What Causes Enlarged Spleen With Multiple Masses?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). You have enlarged skin with low platelet count suggest that you are having hypersplenism with spleenomegaly. Your total leukocyte count would alsso be low. There are many causes of enlarged spleen like infection, myeloproliferative disorder, hyperplastic etc. I will suggest you to take opinion of Haematologist who may suggest for bone marrow procedure and manage accordingly. Your spleen is working thats why your platelet has decreased Only when there are complications like spontaneous bleed from any site, recurrent infections etc, then only spleenectomy is advised No there is no risk until it causes complication I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.