Platelets can contribute to tumour progression and metastasis. Cancer patients are at increased risk of thrombosis, while advanced stages of cancer associate with thrombocytosis or increased platelet reactivity. Tyrosine kinase inhibitors (TKIs) are widely used as a targeted strategy for cancer treatment, aiming to prolong progression-free survival of the patients. Because of their broad kinase target spectrum, most TKIs inevitably have off-target effects. Platelets rely on on tyrosine kinase activity for their activation. Frequently observed side effects are lowering of platelet count and inhibition of platelet functions, whether or not accompanied by an increased bleeding risk. In this review we aim to give insight into: (i) 38 TKIs that are currently used for treatment of different types of cancer, either on the market or in clinical trials, (ii) how distinct TKIs can inhibit activation mechanisms in platelets, and (iii) the clinical consequences of the antiplatelet effects due to TKI treatment. For several TKIs, the knowledge on affinity for their targets does not align with published effects on platelets and reported bleeding events. Together, this review should raise awareness of the potential antiplatelet effects of several TKIs, which will be enhanced in the presence of antithrombotic drugs.Integrin-dependent signalling. Platelet integrins, in particular α IIb β 3 , α 2 β 1 and αƲβ 3 , regulate adhesion, aggregation and thrombus formation 28 . Especially regarding integrin α IIb β 3 (ligands: fibrinogen, vWF and other matrix proteins) much research has been performed to the outside-in signalling events triggered by the occupied, activated conformation. Several tyrosine kinases are implicated in this signalling pathway, including FAK, Pyk2, Src, SLP76 and Syk 29, 31 .