论文部分内容阅读
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 investigate the incidence of malignant tumors with venous thrombosis as the first manifestation and the common pathological types. Methods: 287 cases of unexplained venous thrombosis or thrombophlebitis treated in our hospital for nearly 10 years were analyzed, and the occult malignant tumors were routinely screened. No abnormal findings were insisted on follow-up after discharge at least 1 year. Results: Of the 287 patients, 44 were finally diagnosed with malignant tumors, of which 21 were adenocarcinoma and 23 were other types. 28 cases involving a single limb, ≥ 2 limb involvement in 16 cases. Conclusion: A considerable proportion of patients with unexplained venous thrombosis is caused by malignant tumors, especially adenocarcinoma, and tumor screening should be performed routinely.