Thrombosis in Cancer: A Medical Professional's Guide to Cancer Associated Thrombosis

Author(s): Manoj Rai* and Nishraj Basnet

DOI: 10.2174/9781681087849121010008

Chemotherapy Induced Thrombosis

Pp: 40-46 (7)

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* (Excluding Mailing and Handling)

  • * (Excluding Mailing and Handling)

Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Chemotherapy is a known independent risk for the development of VTE which is also known to increase the risk of recurrence of VTE in malignancy by fourfolds. Factors that influence the incidence of VTE in chemotherapy are the type, location of the tumor, type of chemotherapy, the presence of agents such as hormonal agents, targeted therapies. Chemotherapy can worsen the pro-thrombotic state by various mechanisms. Various scoring system such as Khorana’s model and Ottawa score has been recommended to predict the risk of VTE with chemotherapy. Low molecular weight heparin (LMWH) has been shown be to effective in VTE prophylaxis in patients with active cancer undergoing chemotherapy. There is however limited evidence currently regarding the use of direct oral anticoagulants in the prophylaxis of cancer-associated thrombosis.

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