Bach A G, Neumann J, Taute B-M, Surov A
Universitätsklinik und Poliklinik für Radiologie, Universitätsklinikum Halle (Saale).
Universitätsklinik und Poliklinik für Innere Medizin III (Kardiologie und Angiologie), Universitätsklinikum Halle (Saale).
Pneumologie. 2016 Oct;70(10):651-656. doi: 10.1055/s-0042-112093. Epub 2016 Oct 10.
The frequency of pulmonary embolism (PE) in oncologic patients ranges from 1.1 % to 7.3 % depending on whether not only symptomatic findings but also incidental and initially overseen events are considered. The frequency of PE is tumor-specific. Most frequently PE occurs in patients with malignancy of the ovary (25 %), pancreas, brain, uterus, and multiple myeloma. Most rarely is PE found in patients with malignancy of the testis (< 1 %).The tumor-specific frequency shows that the association of malignancy and PE is not equally true for alle malignancies. A number of arguments that support the above association are also valid in non-oncologic patients.The awareness of the diagnosing radiologist and the thrombus mass decide whether or not an unexpected PE is detected. An increased awareness is suggested in patients with malignancies with high PE frequency and in patients with advanced oncologic disease.