墨西哥城一家综合医院深静脉血栓形成患者中的隐匿性癌症：一项试点研究。
Occult cancer in patients with deep-vein thrombosis in a general hospital at Mexico City: A pilot study.
作者信息
Ramírez-Serrano Torres Christian O, Román-Guzmán Edgardo, Ortiz-Mendoza Carlos-Manuel
机构信息
Department of General Surgery, ISSSTE Hospital General Tacuba, Mexico City, Mexico.
Department of Vascular Surgery, ISSSTE Hospital General Tacuba, Mexico City, Mexico.
出版信息
J Res Med Sci. 2017 May 30;22:63. doi: 10.4103/jrms.JRMS_559_16. eCollection 2017.
BACKGROUND
We aimed to explore the frequency of occult cancer in patients with deep-vein thrombosis (DVT) at a general hospital in Mexico City.
MATERIALS AND METHODS
From March 2012 to February 2015, all patients with primary DVT of lower extremities attended in the emergency department of our hospital were studied. Initially, all patients were evaluated with clinical history, physical examination, basic laboratories, abdominal ultrasound, chest X-ray, and duplex venous ultrasonography. In a case-by-case approach, if necessary, computed tomography, endoscopy, colonoscopy, and tumor markers were done.
RESULTS
From 182 patients with primary DVT, 30 (16.5%) presented occult cancer: Thirteen males and 17 females, with an average age of 61 years. In males, prostate cancer prevailed (6/13, 46%); meanwhile, in females, pelvic gynecologic cancers predominated (7/17, 41%).
CONCLUSION
Our results suggest that in Mexican patients with primary DVT, occult cancer is frequent.
背景
我们旨在探究墨西哥城一家综合医院中深静脉血栓形成（DVT）患者隐匿性癌症的发生率。
材料与方法
对2012年3月至2015年2月期间在我院急诊科就诊的所有原发性下肢DVT患者进行研究。最初，所有患者均接受临床病史、体格检查、基础实验室检查、腹部超声、胸部X线和双功静脉超声检查。根据具体情况，必要时进行计算机断层扫描、内镜检查、结肠镜检查和肿瘤标志物检查。
结果
在182例原发性DVT患者中，30例（16.5%）存在隐匿性癌症：男性13例，女性17例，平均年龄61岁。男性中前列腺癌居多（6/13，46%）；而女性中盆腔妇科癌症占主导（7/17，41%）。
结论
我们的结果表明，在墨西哥原发性DVT患者中，隐匿性癌症很常见。
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