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Tiseo M, Bersanelli M, Barili MP, Bartolotti M, De Luca G, Gelsomino F, Camisa R, Cademartiri F, Ardizzoni A. Asymptomatic Pulmonary Embolism in Lung Cancer: Prevalence and Analysis of Clinical and Radiological Characteristics in 141 Outpatients. TUMORI JOURNAL 2018; 98:594-600. [DOI: 10.1177/030089161209800509] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aims and background The incidence of asymptomatic pulmonary embolism in cancer patients is unknown and strictly related to the imaging used for tumor assessment. Recent findings suggest a similar clinical outcome of asymptomatic pulmonary embolism events compared to symptomatic events with a significant impact on survival. The aim of the present study was to determine the prevalence of asymptomatic pulmonary embolism in a population of lung cancer outpatients and to investigate its clinical features. Methods Outpatients with a diagnosis of lung carcinoma undergoing chemotherapy were selected from October 2006 to June 2009. Disease and patient characteristics, risk factors and treatment modalities were collected. All the computed tomography images performed for each patient during the study period were retrospectively reviewed to identify pulmonary embolism. Results A total of 141 consecutive patients were included and 657 computed tomography scans were completely reviewed (from two to six consecutive scans for each patient). Asymptomatic pulmonary embolism in the study population had a prevalence of 14.9% (21 patients). Most of the events occurred in patients with adenocarcinoma, advanced stage and poor performance status, during the early phases of first-line chemotherapy or at the same time of the cancer diagnosis. Compared with the symptomatic pulmonary embolism events (5 patients), asymptomatic events occurred earlier (time from cancer diagnosis to pulmonary embolism of 3.5 [95% CI, 2.0–4.9] versus 12.1 months [95% CI, 6.3–17.9; P = 0.02]) and had a better prognosis (survival from PE of 7.5 [95% CI, 3.4–11.6] versus 1.9 months [95% CI, 0–3.9; P = 0.04]). Conclusions Our findings indicate an underestimation of embolic events among lung cancer outpatients due to their frequent asymptomatic natur. Such a high prevalence suggests the importance to pay more attention to pulmonary embolism prevention in this population.
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Affiliation(s)
- Marcello Tiseo
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
| | | | | | - Marco Bartolotti
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
| | - Giovanni De Luca
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
| | | | - Roberta Camisa
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
| | | | - Andrea Ardizzoni
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
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Thorell SE, Winters U, Lee S, Bright J, Thachil J. Ovarian malignancy revealed by anticoagulation. Br J Hosp Med (Lond) 2015; 76:302-3. [PMID: 25959944 DOI: 10.12968/hmed.2015.76.5.302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sofia E Thorell
- Final Year Medical Student in the School of Medicine, University of Manchester, Manchester
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Palla A, Celi A, Marconi L, Pistelli F, Tavanti L, Desideri M, Carrozzi L. Venous Thromboembolism in Cancer: Frequently Asked Questions When Guidelines are Inconclusive. Cancer Invest 2015; 33:142-51. [DOI: 10.3109/07357907.2015.1009631] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Refaat R, El-Shinnawy MA. Does the anatomic distribution of acute pulmonary emboli at MDCT pulmonary angiography in oncology-population differ from that in non-oncology counterpart? THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2013. [DOI: 10.1016/j.ejrnm.2013.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
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Karippot A, Shaaban HS, Maroules M, Guron G. The clinical characteristics of pulmonary embolism in patients with malignancy: a single medical institutional experience. NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2012. [PMID: 23181237 PMCID: PMC3503384 DOI: 10.4103/1947-2714.103333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Asha Karippot
- Department of Medicine, St. Joseph Regional Medical Center, Paterson, NJ, USA. E-mail: ; Division of Hematology and Oncology, St. Joseph Regional Medical Center, Paterson, NJ, USA ; School of Health and Medical Sciences, Seton Hall University, South Orange, NJ, USA
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Varona Porres D, Andreu Soriano J, Pallisa Núñez E, Persiva Morenza O, Roque Pérez A. Patología vascular torácica en pacientes oncológicos. RADIOLOGIA 2011; 53:335-48. [DOI: 10.1016/j.rx.2011.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2010] [Revised: 01/28/2011] [Accepted: 01/31/2011] [Indexed: 11/15/2022]
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Varona Porres D, Andreu Soriano J, Pallisa Núñez E, Persiva Morenza O, Roque Pérez A. Thoracic vascular disease in oncologic patients. RADIOLOGIA 2011. [DOI: 10.1016/j.rxeng.2011.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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