Multidisciplinary Cancer Investigation
نشریه بین المللی چند تخصصی سرطان
Multidiscip Cancer Investig
Medical Sciences
http://mcijournal.com
1
admin
2476-4922
2538-1911
10.30699/acadpub.mci
en
jalali
1400
12
1
gregorian
2022
3
1
6
1
online
1
fulltext
en
Incidental Pulmonary Embolism in Cancer Patients: A Single-Institution Analysis in Panama
Health Policy and Economics
Original/Research Article
<div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><b><span style="line-height:107%"><span calibri=""><span style="color:#1d1d1b"><span style="letter-spacing:-.05pt">Introduction:</span></span></span></span> </b><span style="line-height:107%"><span calibri=""><span style="color:#1d1d1b">Incidental pulmonary embolisms (iPE) are common in cancer patients. Studies addressing iPE in oncology are increasing; <span style="letter-spacing:-.1pt">however,</span> few of these inve</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">igations have been conducted in a Latin-American population. This </span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">udy aims to describe the incidence and characteri</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">ics of iPE in cancer patients in a comprehensive cancer center from <span style="letter-spacing:-.05pt">Panama.</span></span></span></span><br>
<span style="line-height:107%"><span calibri=""><b><span style="color:#1d1d1b">Methods: </span></b><span style="color:#1d1d1b">A <span style="letter-spacing:-.05pt">single-center,</span> retrospective </span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">udy was conducted at the National In</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">itute of Oncology during a period of 7 months. Every contra</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">-enhanced CT scan was reviewed. Electronic records and CT reports <span style="letter-spacing:-.05pt">were</span> reviewed for demographic, clinical, and radiological information.</span></span></span><br>
<span style="line-height:107%"><span calibri=""><b><span style="color:#1d1d1b">Results: </span></b><span style="color:#1d1d1b"><span style="letter-spacing:-.45pt">We</span></span> <span style="color:#1d1d1b">reported 46 iPEs in 4065 <span style="letter-spacing:-.05pt">scans</span> (incidence=1.13%). The mean±SD age <span style="letter-spacing:-.05pt">was</span> 6413± years. Mo</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b"> patients were female (63.0%) and were outpatients (73.9%) when the CT <span style="letter-spacing:-.05pt">scan</span> <span style="letter-spacing:-.05pt">was</span> performed. Central iPEs <span style="letter-spacing:-.05pt">were</span> found in thirty-one patients (67.4%). Thirty patients <span style="letter-spacing:-.05pt">were</span> receiving chemotherapy (54.3%) or hormone therapy (10.9%); two-thirds had meta</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">atic disease. The mo</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b"> frequently reported tumors were ga</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">rointe</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">inal, brea</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">, and gynecologic <span style="letter-spacing:-.05pt">cancers.</span> More than 70% were reported as asymptomatic, and 78% <span style="letter-spacing:-.05pt">were</span> initially managed <span style="letter-spacing:-.05pt">with</span> anticoagulation.</span></span></span><br>
<span style="line-height:107%"><span calibri=""><b><span style="color:#1d1d1b">Conclusions: </span></b><span style="color:#1d1d1b">Our </span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">udy reported a low incidence of iPE in oncologic patients (1.13%) which is consi</span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">ent with what has been observed in previous </span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">udies (0.34%-7.3%). The true incidence is </span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b">st</span></span><span calibri=""><span style="color:#1d1d1b">ill uncertain, and it might be <span style="letter-spacing:-.1pt">undere</span></span></span><span arial="" ms="" unicode=""><span style="color:#1d1d1b"><span style="letter-spacing:-.1pt">st</span></span></span><span calibri=""><span style="color:#1d1d1b"><span style="letter-spacing:-.1pt">imated</span><span style="letter-spacing:-.05pt">;</span> especially the rate of <span style="letter-spacing:-.05pt">subsegmental</span> embolism.</span></span></span></span></span></div>
Venous Thromboembolism, Multidetector Computed, Tomography, Medical Oncology, Anticoagulants
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http://mcijournal.com/browse.php?a_code=A-10-559-1&slc_lang=en&sid=1
Jorge
Sinclair De Frías
jorge-sinclair@outlook.com
10031947532846003263
10031947532846003263
Yes
Faculty of Medicine, University of Panama, Panama City, Panama
Moises
Cukier
10031947532846003264
10031947532846003264
No
Faculty of Medicine, University of Panama, Panama City, Panama & Department of Surgical Oncology, National Institute of Oncology, Panama City, Panama
Lorenzo
Olivero
10031947532846003265
10031947532846003265
No
Faculty of Medicine, University of Panama, Panama City, Panama
Daniella
Vazquez
10031947532846003266
10031947532846003266
No
Faculty of Medicine, University of Panama, Panama City, Panama
Hector
Tapia
10031947532846003267
10031947532846003267
No
Department of Radiology, National Institute of Oncology, Panama City, Panama