Document Detail


Hemostatic function in cancer patients.
MedLine Citation:
PMID:  7397648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed coagulation profiles including a complete blood count (CBC), prothrombin time (PT), activated partial thromboplastin time (aPTT), and quantitation of fibrinogen, antithrombin III (AT III), plasminogen, and fibrin/fibrinogen degradation products (FDP) on 73 cancer patients. All had solid tumors with clinically documented metastases. Eleven patients had strong clinical and laboratory evidence of disseminated intravascular coagulation (DIC). Fifty-five of the remaining 62 patients had no clinical evidence of serious hemorrhage or thrombosis at the time of testing. Thirty-one (50%) non-DIC patients had no abnormal clotting tests. Our data indicate that a majority of cancer patients, with or without hepatic involvement, are able to maintain normal or near normal hemostatic function in vitro until advanced stage of disease. Deviation from normal for PT, aPTT, or TT, depressed AT III activity, or increased FDP signal the presence of complicating pathophysiologic events such as DIC or cirrhosis. Diminution of fibrinogen level or AT III activity and elevation of FDP are more sensitive indicators of DIC than prolongation of PT, aPTT, or TT.
Authors:
M S Kies; J J Posch; J P Giolma; R N Rubin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cancer     Volume:  46     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-10-24     Completed Date:  1980-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  831-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antithrombin III / analysis
Blood Coagulation Tests
Disseminated Intravascular Coagulation / etiology
Female
Fibrin Fibrinogen Degradation Products / analysis
Fibrinogen / analysis
Hemostasis*
Humans
Liver Cirrhosis / etiology
Male
Middle Aged
Neoplasm Metastasis
Neoplasms / complications,  physiopathology*
Chemical
Reg. No./Substance:
0/Fibrin Fibrinogen Degradation Products; 9000-94-6/Antithrombin III; 9001-32-5/Fibrinogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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