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The incidence and clinical characteristics of pulmonary embolism in oncologic patients
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
2251
Staff Zu Site
Abstract In Staff Site
Journal:
Egyption journal of Bronchology Springer
Volume:
Keywords :
, incidence , clinical characteristics , pulmonary embolism , oncologic
Abstract:
Background: For various types of cancer in oncologic patients, the clinical features of pulmonary embolism (PE) are unknown. The purpose of the study is to identify pulmonary embolism incidence and type among oncologic patients along with evaluating any associated clinical variables. Patients and methods: A prospective cohort study was conducted on 540 patients who had various types of cancers and attended to a 1-day care unit of oncology in King Fahd Hospital, Kingdom of Saudi Arabia. Chest CT with contrast and CT pulmonary angiography was applied when indicated. Results: This study was conducted on 540 patients who have diferent types of cancers; among them, 24 (4.44%) developed PE. Pulmonary embolism was reported in 50% of patients who had seminoma and germ cell tumor, while in cancer larynx, it was represented in 33.4% of them. Moreover, PE was less common among patients who had cancer colon, prostate, and breast (6.68%, 4.7%, and 2.54%, respectively). Seven patients with PE (1.3%) were diagnosed incidentally during cancer staging, while 17 patients (3.14%) had symptomatic PE. Eighty-four percent of the PE cases were diagnosed within the frst 6 months of cancer diagnosis, while 4/24 (16%) of the PE cases were diagnosed throughout patient follow-up within the frst year of diagnosis. Chest pain and dyspnea were the common presentations in confrmed PE either symptomatic or incidental group. Conclusions: Low-risk PE was the most frequent degree; massive and sub-massive PE was uncommon in oncologic patients. Dyspnea and chest discomfort are concerning signs of PE in cancer. Meticulous care during the frst 6 months for cancer patients to pick up pulmonary embolism is recommended. Keywords: PE, Diferent cancer types, Characters, Oncology outpatient
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