Abstract
Purpose: To bring attention to our observation that soft tissue sarcomas may present initially as deep venous thromboses (DVTs). Method: A query of our health system database (1996 to 2004) for patients diagnosed with soft tissue sarcomas and DVTs was undertaken. Patient medical records were reviewed to select those patients whose DVT occurred before the diagnosis of their tumor. Patient demographics, tumor classification, presentation, and outcome were noted. Results: Six of 19 patients were identified (four men, two women; aged 41 to 85 years). All tumors occurred in the lower extremities. All DVTs occurred in the same extremity as the tumor. Pathology specimens indicated four different types of sarcomas. In five cases, sarcoma diagnosis was delayed as treatment of the DVT occurred. In one, a mass was seen on the initial venous duplex screen. Four are deceased, one remains in treatment, and one was lost to follow-up. The average length of follow-up was 10 months. Conclusion: Soft tissue sarcomas can initially present as, or even be misdiagnosed as, DVT. Given a delay in diagnosis adversely affects prognosis, it is important that physicians be vigilante for associated tumors when evaluating for suspected DVT.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 788-793 |
| Number of pages | 6 |
| Journal | Journal of Vascular Surgery |
| Volume | 43 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 2006 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Soft tissue sarcomas may present with deep vein thrombosis. / Benns, Matthew; Dalsing, Michael; Sawchuck, Alan; Wurtz, Lawrence.
In: Journal of Vascular Surgery, Vol. 43, No. 4, 04.2006, p. 788-793.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Soft tissue sarcomas may present with deep vein thrombosis
AU - Benns, Matthew
AU - Dalsing, Michael
AU - Sawchuck, Alan
AU - Wurtz, Lawrence
PY - 2006/4
Y1 - 2006/4
N2 - Purpose: To bring attention to our observation that soft tissue sarcomas may present initially as deep venous thromboses (DVTs). Method: A query of our health system database (1996 to 2004) for patients diagnosed with soft tissue sarcomas and DVTs was undertaken. Patient medical records were reviewed to select those patients whose DVT occurred before the diagnosis of their tumor. Patient demographics, tumor classification, presentation, and outcome were noted. Results: Six of 19 patients were identified (four men, two women; aged 41 to 85 years). All tumors occurred in the lower extremities. All DVTs occurred in the same extremity as the tumor. Pathology specimens indicated four different types of sarcomas. In five cases, sarcoma diagnosis was delayed as treatment of the DVT occurred. In one, a mass was seen on the initial venous duplex screen. Four are deceased, one remains in treatment, and one was lost to follow-up. The average length of follow-up was 10 months. Conclusion: Soft tissue sarcomas can initially present as, or even be misdiagnosed as, DVT. Given a delay in diagnosis adversely affects prognosis, it is important that physicians be vigilante for associated tumors when evaluating for suspected DVT.
AB - Purpose: To bring attention to our observation that soft tissue sarcomas may present initially as deep venous thromboses (DVTs). Method: A query of our health system database (1996 to 2004) for patients diagnosed with soft tissue sarcomas and DVTs was undertaken. Patient medical records were reviewed to select those patients whose DVT occurred before the diagnosis of their tumor. Patient demographics, tumor classification, presentation, and outcome were noted. Results: Six of 19 patients were identified (four men, two women; aged 41 to 85 years). All tumors occurred in the lower extremities. All DVTs occurred in the same extremity as the tumor. Pathology specimens indicated four different types of sarcomas. In five cases, sarcoma diagnosis was delayed as treatment of the DVT occurred. In one, a mass was seen on the initial venous duplex screen. Four are deceased, one remains in treatment, and one was lost to follow-up. The average length of follow-up was 10 months. Conclusion: Soft tissue sarcomas can initially present as, or even be misdiagnosed as, DVT. Given a delay in diagnosis adversely affects prognosis, it is important that physicians be vigilante for associated tumors when evaluating for suspected DVT.
UR - http://www.scopus.com/inward/record.url?scp=33645733457&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33645733457&partnerID=8YFLogxK
U2 - 10.1016/j.jvs.2005.12.039
DO - 10.1016/j.jvs.2005.12.039
M3 - Article
C2 - 16616238
AN - SCOPUS:33645733457
VL - 43
SP - 788
EP - 793
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
SN - 0741-5214
IS - 4
ER -