Soft tissue sarcomas may present with deep vein thrombosis

Matthew Benns, Michael Dalsing, Alan Sawchuck, Lawrence Wurtz

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)788-793
Number of pages6
JournalJournal of Vascular Surgery
Volume43
Issue number4
DOIs
StatePublished - Apr 2006
Externally publishedYes

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Venous Thrombosis
Sarcoma
Neoplasms
Delayed Diagnosis
Lost to Follow-Up
Diagnostic Errors
Medical Records
Lower Extremity
Extremities
Demography
Databases
Pathology
Physicians
Health
Therapeutics

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 journalArticle

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