以静脉血栓形成为首发表现的恶性肿瘤44例临床分析  

Analysis of 44 cases of malignant tumors firstly characterized by veinthrombosis

作　　者：葛洪峰[1] 段永建[1] 李旭[1] 高玉花[1] 翟彦杰[1] 宋华勇[1] 时磊[1] 宋慧琴[2] 

机构地区：[1]河南大学第一附属医院肿瘤血液科,河南开封475000 [2]河南大学第一附属医院病理科,河南开封475000

出　　处：《中华肿瘤防治杂志》2010年第4期299-300,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的:探讨以静脉血栓形成为首发表现的恶性肿瘤发病情况及常见病理类型。方法:对我院近10年收治的不明原因静脉血栓或血栓性静脉炎患者287例进行分析,常规筛查隐匿性恶性肿瘤。无异常发现者出院后坚持随访至少1年。结果:287例患者最终确诊恶性肿瘤44例,其中腺癌21例,其他类型23例。累及单个肢体者28例,≥2个肢体受累者16例。结论:不明原因的静脉血栓形成有相当比例为恶性肿瘤所致,尤其是腺癌,应常规进行肿瘤筛查。OBJECTIVE：To explore the incidence and pathology of malignant tumors taking veinthrombosis as first symptom.METHODS：A total of 287 cases of veinthrombosis and thrombophlebitis of undetermined origin were accepted for tumor tests routinely.Those who were not diagnosed with malignant tumors were followed up for no less than 1 year.RESULTS：Forty-four cases out of 287 ones were diagnosed with malignant tumors,including adenocarcinoma（21 cases）and other types of carcinoma（23 cases）.One limb involved 28 cases,and two or more limbs involved 16 cases.CONCLUSIONS：Quite a number of veinthrombosis or thrombophlebitis of undetermined origin are caused by malignant tumors,especially by adenocarcinoma.These patients should be tested for tumor routinely.

关 键 词：肿瘤 静脉血栓形成 诊断 普查 

分 类 号：R730.4[医药卫生—肿瘤]