Thrombosis in hematological malignancies: mechanisms and implications.

Abstract:

:A B S T R A C T Thrombotic events are a major cause of morbidity and mortality in cancer. While the association of venous thromboembolic events with cancer is well documented, in recent years arterial events (i.e. acute myocardial infarction and ischemic strokes) have also emerged as relatively common complications among cancer patients. In hematological malignancies incorporating a heterogeneous group of diseases, the prediction of thrombosis occurrence and/or recurrence is challenging, due to unique disease characteristics. Furthermore, the treatment of thrombosis in these patients is often complicated because of disease- or therapy-related thrombocytopenia. In addition, patients with hematological cancers are poorly represented in randomized control clinical trials; hence, evidence-based guidelines are limited. This review will discuss the incidence of venous and arterial thrombotic events in common myeloid and lymphoproliferative diseases. Several new mechanisms contributing to cancer- associated thrombosis will be elaborated. The complicated issue of risk assessment and management of venous thrombosis in patients with hematological malignancies will be delineated.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Horowitz NA,Brenner B

doi

10.1016/S0049-3848(20)30398-4

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

S58-S62

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(20)30398-4

journal_volume

191 Suppl 1

pub_type

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