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Shreya Agrawal: Top 5 Practical Hematology Lessons from 2025 – Mild Cytopenias are Rarely “Incidental” and More
Shreya Agrawal / rahejahospital.com
Jan 4, 2026, 14:51

Shreya Agrawal: Top 5 Practical Hematology Lessons from 2025 – Mild Cytopenias are Rarely “Incidental” and More

Dr Shreya Agrawal, Consultant Hematologist and Bone marrow transplant physician at S. L. Raheja Hospital – A Fortis Associate, shared a post on LinkedIn:

“Top 5 Practical Hematology Lessons from 2025

As 2025 comes to a close, everyday clinical practice reinforced a few important truths in hematology:

  1. Mild cytopenias are rarely “incidental”
    Persistent anemia, thrombocytopenia, or leukopenia—especially in older adults—often represents early marrow pathology rather than age-related change.
  2. Trends matter more than single reports
    A stable pattern over time provides far more diagnostic value than one CBC within reference range.
  3. Molecular tests are tools, not shortcuts
    NGS and advanced panels are most useful when guided by clinical suspicion and careful patient selection.
  4. Treatment decisions are increasingly biology-driven
    Risk stratification, disease trajectory, and patient fitness now guide therapy more than absolute counts alone.
  5. Supportive care shapes outcomes
    Transfusion strategy, infection prevention, and thrombosis management directly influence survival and quality of life.

2025 was a reminder that good hematology is built on observation, follow-up, and thoughtful intervention. Looking ahead to applying these lessons with greater precision in 2026.”

Explore more posts for deeper insights into hemostasis with Hemostasis Today.

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