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What Would Low Platelet Count And 'mild Thrombocytopenia With Some Large Platelets' Mentioned In A Blood Test Indicate?

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Posted on Fri, 27 Oct 2023
Question: Hi doctor I hope you are doing well , my question regarding CBC test , my results all are normal except the platelets count is 131 and reference rang is 150 to 450 and the report says mild thrombocytopenia with some large platelets are seen and rest all are ok . So is that lukimea or other blood cancer and what other tests shall I do ?? I have had Thyriod cancer micro paiplary and all up to now no evidence of disease and all test are fine . Please advise best regards XXXXXXX
doctor
Answered by Dr. Monish De (40 minutes later)
Brief Answer:
You do not have blood cancer

Detailed Answer:
Hi

Since your cbc test is showing mild thrombocytopenia and platelet is around 131 but giant platelets are present there is nothing to worry.

You are not having leukemia or blood cancer and presence of giant platelets indicates your platelet count is absolutely normal as sometimes normal sized platelets bind together to form giant platelet which may cause platelet count to be on the lower side

Since your other parameters in cbc test is normal there is nothing to worry and you do not have leukemia or blood cancer

Regards
Dr Monish De
Oncologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Monish De (36 hours later)
Hi doctor, thanks a lot for you answer, I attached two report the first one and yesterday I asked for the film as you can see the gaint cells are not there and the payletes is increase from 131 to 138. So doctor please advise me is that good sign and what is it indicate ? Is the low platelets could be on my case related to viral infection ?? And could it comes back to normal? Please advise . Best regards XXXXXXX
doctor
Answered by Dr. Monish De (1 hour later)
Brief Answer:
Corticosteroid group of drugs

Detailed Answer:
Hi

I have gone through your reports.

In your uploaded third report there is mention of large platelets which indicates giant platelets.

Your latest platelet report on 9/5/18 is 138 which is that not low.

People with mild thrombocytopenia may not need treatment and it comes back to normal on its own.

Viral infection does not cause low platelet

However if you want to increase its count then you need to take corticosteroid group of drugs with your doctors advise.

Regards
Dr Monish De
Oncologist
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Would Low Platelet Count And 'mild Thrombocytopenia With Some Large Platelets' Mentioned In A Blood Test Indicate?

Brief Answer: You do not have blood cancer Detailed Answer: Hi Since your cbc test is showing mild thrombocytopenia and platelet is around 131 but giant platelets are present there is nothing to worry. You are not having leukemia or blood cancer and presence of giant platelets indicates your platelet count is absolutely normal as sometimes normal sized platelets bind together to form giant platelet which may cause platelet count to be on the lower side Since your other parameters in cbc test is normal there is nothing to worry and you do not have leukemia or blood cancer Regards Dr Monish De Oncologist