Multidisciplinary Cancer Investigation

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;">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.</div> Venous Thromboembolism, Multidetector Computed, Tomography, Medical Oncology, Anticoagulants 1 7 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