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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bruises On The Thigh When Diagnosed With Low Platelet Count

Hi, I have recently had a very low Platelet count of 25.000, i also have a very large mass of very dark large bruises predominantly to the back of my left thigh although there are others in different areas. I am 48 years old and weight 13.5 stone. I was previously diagnosed with breat cancer on 7th July 2015 resuting in surgery, chemotherapy and Raiotherapy. How high is the risk on me having developed cancer of the blood or bone. I have tried to speak to the Haematology department to get some reassurance but have been told noone will talk to me.
Mon, 4 Sep 2017
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Hematologist 's  Response
Dear Madam,
I am pretty much worried about the low platelet counts that you have and bruises the you are developing. There are several causes for this problem, but as you were earlier treated with chemotherapy and radiation, there is high probability that you may be have a blood cancer or a precursor of cancer (we call this condition as therapy related Acute myeloid leukemia/ Myelodysplastic syndrome). Risk of developing this problem depends on type of chemotherapy agents used during the prior treatment and dose of radiation. Hence exact figures cannot be given and it is not necessary also.
I suggest you to get your bone marrow tested at the earliest to know the reason for low platelet counts and also get admitted for platelet transfusions.
Remember that blood cancers can be treated and with proper treatment many get completely cured of disease.

Hope I have answered your question. If you have any further questions I will be happy to help.
With regards,
Dr. Girish Kamat
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Suggest Treatment For Bruises On The Thigh When Diagnosed With Low Platelet Count

Dear Madam, I am pretty much worried about the low platelet counts that you have and bruises the you are developing. There are several causes for this problem, but as you were earlier treated with chemotherapy and radiation, there is high probability that you may be have a blood cancer or a precursor of cancer (we call this condition as therapy related Acute myeloid leukemia/ Myelodysplastic syndrome). Risk of developing this problem depends on type of chemotherapy agents used during the prior treatment and dose of radiation. Hence exact figures cannot be given and it is not necessary also. I suggest you to get your bone marrow tested at the earliest to know the reason for low platelet counts and also get admitted for platelet transfusions. Remember that blood cancers can be treated and with proper treatment many get completely cured of disease. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat