Ozben Beste, Papila Nurdan, Tanrikulu M Azra, Bayalan Fatih, Fak Ali Serdar, Oktay Ahmet
Department of Cardiology, Marmara University Faculty of Medicine, Yildiz Caddesi Konak Apartmani No: 43/24, 34353 Besiktas, Istanbul, Turkey.
J Thromb Thrombolysis. 2007 Dec;24(3):317-21. doi: 10.1007/s11239-007-0037-5. Epub 2007 May 5.
Venous thromboembolism is a common complication in patients with cancer and an important cause of morbidity and mortality. Idiopathic thrombosis, migratory or recurrent thrombophlebitis may be the first manifestation of an occult malignancy. While deep venous thrombosis and pulmonary embolism are the most common thrombotic conditions in patients with malignant disease, tumor thrombus may be seen in inferior vena cava, mainly in patients with renal cell carcinoma, hepatocellular carcinoma, testicular tumors or adrenal carcinoma. Although pancreatic cancer is one of the cancers that are most strongly associated with thrombotic complications along with cancers of ovary and brain, there has been no report about presence of thrombus in the inferior vena cava in pancreatic cancer. We report a female patient with pancreatic cancer associated with tumor thrombus extending from the inferior vena cava to the right atrium.
静脉血栓栓塞是癌症患者常见的并发症，也是发病和死亡的重要原因。特发性血栓形成、游走性或复发性血栓性静脉炎可能是隐匿性恶性肿瘤的首发表现。虽然深静脉血栓形成和肺栓塞是恶性疾病患者最常见的血栓形成情况，但肿瘤血栓可见于下腔静脉，主要见于肾细胞癌、肝细胞癌、睾丸肿瘤或肾上腺癌患者。尽管胰腺癌是与血栓形成并发症关联最密切的癌症之一，与卵巢癌和脑癌一样，但尚无关于胰腺癌患者下腔静脉存在血栓的报道。我们报告一名患有胰腺癌的女性患者，其肿瘤血栓从下腔静脉延伸至右心房。
