Incidental Pulmonary Embolism in Cancer Patients: A Single-Institution Analysis in Panama
Publish place: Multidisciplinary Cancer Investigation، Vol: 1، Issue: 6
Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_MCIJO-1-6_001
تاریخ نمایه سازی: 16 فروردین 1401
Abstract:
Introduction: Incidental pulmonary embolisms (iPE) are common in cancer patients. Studies addressing iPE in oncology are increasing; however, few of these investigations have been conducted in a Latin-American population. This study aims to describe the incidence and characteristics of iPE in cancer patients in a comprehensive cancer center from Panama.
Methods: A single-center, retrospective study was conducted at the National Institute of Oncology during a period of ۷ months. Every contrast-enhanced CT scan was reviewed. Electronic records and CT reports were reviewed for demographic, clinical, and radiological information.
Results: We reported ۴۶ iPEs in ۴۰۶۵ scans (incidence=۱.۱۳%). The mean±SD age was ۶۴۱۳± years. Most patients were female (۶۳.۰%) and were outpatients (۷۳.۹%) when the CT scan was performed. Central iPEs were found in thirty-one patients (۶۷.۴%). Thirty patients were receiving chemotherapy (۵۴.۳%) or hormone therapy (۱۰.۹%); two-thirds had metastatic disease. The most frequently reported tumors were gastrointestinal, breast, and gynecologic cancers. More than ۷۰% were reported as asymptomatic, and ۷۸% were initially managed with anticoagulation.
Conclusions: Our study reported a low incidence of iPE in oncologic patients (۱.۱۳%) which is consistent with what has been observed in previous studies (۰.۳۴%-۷.۳%). The true incidence is still uncertain, and it might be underestimated; especially the rate of subsegmental embolism.
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Authors
Jorge Sinclair De Frías
Faculty of Medicine, University of Panama, Panama City, Panama
Moises Cukier
Faculty of Medicine, University of Panama, Panama City, Panama & Department of Surgical Oncology, National Institute of Oncology, Panama City, Panama
Lorenzo Olivero
Faculty of Medicine, University of Panama, Panama City, Panama
Daniella Vazquez
Faculty of Medicine, University of Panama, Panama City, Panama
Hector Tapia
Department of Radiology, National Institute of Oncology, Panama City, Panama
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