Spontaneous arterial thrombosis in a patient with advanced ovarian clear cell cancer: a case report and literature review

被引：3
作者：
Chen, Jing [1 ]
Sun, Huimin [2 ]
Wu, Minrong [3 ]
Zhong, Xiaolin [4 ]
Zhang, Yuqin [1 ]
机构：
[1] Fudan Univ, Zhongshan Hosp, Dept Gynecol & Obstet, 180 Fenglin Rd, Shanghai 200030, Peoples R China
[2] Weifang Peoples Hosp, Dept Pathol, Weifang, Peoples R China
[3] Fudan Univ, Xiamen Branch, Zhongshan Hosp, Dept Radiol, Xiamen, Peoples R China
[4] Fudan Univ, Xiamen Branch, Zhongshan Hosp, Dept Gynecol & Obstet, Xiamen, Peoples R China
来源：
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2020年 / 48卷 / 06期
关键词：
Ovarian clear cell cancer; arterial thrombosis; venous thromboembolism; antithrombotic treatment; low-molecular-weight heparin; CA125; chemotherapy; VENOUS THROMBOEMBOLISM; RISK-FACTORS; BIOMARKERS; IMPACT;
D O I：
10.1177/0300060520926742
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Patients with ovarian cancer are often in a hypercoagulable state and have a high risk of venous thrombosis, including deep vein thrombosis and pulmonary embolism. However, arterial thrombosis is relatively rare in ovarian cancer. We report a case a 46-year-old woman with ovarian clear cell carcinoma who developed arterial and venous thrombosis in the lower extremities as the first manifestation. Her arterial thrombosis-related ischemic symptoms were not responsive to anticoagulant treatment of low-molecular-weight heparin, but improved after neoadjuvant chemotherapy and surgery. Therefore, we hypothesize that the optimal therapy for arterial thrombosis in ovarian cancer is treatment for the underlying disease (i.e., ovarian cancer). A thorough investigation is required to determine the relationships between arterial thrombosis and ovarian cancer and antithrombotic treatments for ovarian cancer related-arterial thrombosis.
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页数：9
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