Multidisciplinary Cancer Investigation
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Volume 6, Issue 1 (Multidisciplinary Cancer Investigation 2022)
Multidiscip Cancer Investig 2022, 6(1): 1-7 |
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Sinclair De Frías J, Cukier M, Olivero L, Vazquez D, Tapia H. Incidental Pulmonary Embolism in Cancer Patients: A Single-Institution Analysis in Panama. Multidiscip Cancer Investig 2022; 6 (1) :1-7
URL: http://mcijournal.com/article-1-333-en.html
URL: http://mcijournal.com/article-1-333-en.html
1- Faculty of Medicine, University of Panama, Panama City, Panama , jorge-sinclair@outlook.com
2- Faculty of Medicine, University of Panama, Panama City, Panama & Department of Surgical Oncology, National Institute of Oncology, Panama City, Panama
3- Faculty of Medicine, University of Panama, Panama City, Panama
4- Department of Radiology, National Institute of Oncology, Panama City, Panama
2- Faculty of Medicine, University of Panama, Panama City, Panama & Department of Surgical Oncology, National Institute of Oncology, Panama City, Panama
3- Faculty of Medicine, University of Panama, Panama City, Panama
4- Department of Radiology, National Institute of Oncology, Panama City, Panama
Abstract: (1267 Views)
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 7 months. Every contrast-enhanced CT scan was reviewed. Electronic records and CT reports were reviewed for demographic, clinical, and radiological information.
Results: We reported 46 iPEs in 4065 scans (incidence=1.13%). The mean±SD age was 6413± years. Most patients were female (63.0%) and were outpatients (73.9%) when the CT scan was performed. Central iPEs were found in thirty-one patients (67.4%). Thirty patients were receiving chemotherapy (54.3%) or hormone therapy (10.9%); two-thirds had metastatic disease. The most frequently reported tumors were gastrointestinal, breast, and gynecologic cancers. More than 70% were reported as asymptomatic, and 78% were initially managed with anticoagulation.
Conclusions: Our study reported a low incidence of iPE in oncologic patients (1.13%) which is consistent with what has been observed in previous studies (0.34%-7.3%). The true incidence is still uncertain, and it might be underestimated; especially the rate of subsegmental embolism.
Methods: A single-center, retrospective study was conducted at the National Institute of Oncology during a period of 7 months. Every contrast-enhanced CT scan was reviewed. Electronic records and CT reports were reviewed for demographic, clinical, and radiological information.
Results: We reported 46 iPEs in 4065 scans (incidence=1.13%). The mean±SD age was 6413± years. Most patients were female (63.0%) and were outpatients (73.9%) when the CT scan was performed. Central iPEs were found in thirty-one patients (67.4%). Thirty patients were receiving chemotherapy (54.3%) or hormone therapy (10.9%); two-thirds had metastatic disease. The most frequently reported tumors were gastrointestinal, breast, and gynecologic cancers. More than 70% were reported as asymptomatic, and 78% were initially managed with anticoagulation.
Conclusions: Our study reported a low incidence of iPE in oncologic patients (1.13%) which is consistent with what has been observed in previous studies (0.34%-7.3%). The true incidence is still uncertain, and it might be underestimated; especially the rate of subsegmental embolism.
Keywords: Venous Thromboembolism, Multidetector Computed, Tomography, Medical Oncology, Anticoagulants
Select article type: Original/Research Article |
Subject:
Health Policy and Economics
Received: 2021/08/11 | Accepted: 2022/02/13 | ePublished: 2022/03/16
Received: 2021/08/11 | Accepted: 2022/02/13 | ePublished: 2022/03/16
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