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   English Wikipedia
 
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 Antithrombotic therapy and survival in patients with malignant disease Kakkar AK; Macbeth FBr J Cancer  2010[Apr]; 102 Suppl 1 (Suppl 1): S24-9A broad range of studies suggest a two-way relationship between cancer and venous  thromboembolism (VTE). Patients with cancer have consistently been shown to be at  elevated risk for VTE; this risk is partly driven by an intrinsic hypercoagulable  state elicited by the tumour itself. Conversely, thromboembolic events in  patients without obvious risk factors are often the first clinical manifestation  of an undiagnosed malignancy. The relationship between VTE and cancer is further  supported by a number of trials and meta-analyses which, when taken together,  strongly suggest that antithrombotic therapy can extend survival in patients with  cancer by a mechanism that extends beyond its effect in preventing VTE. Moreover,  accumulating evidence from in vitro and in vivo studies has shown that tumour  growth, invasion, and metastasis are governed, in part, by elements of the  coagulation system. On 22 May 2009, a group of health-care providers based in the  United Kingdom met in London, England, to examine recent advances in  cancer-associated thrombosis and its implications for UK clinical practice. As  part of the discussion, attendees evaluated evidence for and against an effect of  antithrombotic therapy on survival in cancer. This paper includes a summary of  the data presented at the meeting and explores potential mechanisms by which  antithrombotic agents might exert antitumour effects. The summary is followed by  a consensus statement developed by the group.|Fibrinolytic Agents/*therapeutic use[MESH]|Heparin, Low-Molecular-Weight/therapeutic use[MESH]|Humans[MESH]|Neoplasms/*complications/*mortality[MESH]|Venous Thromboembolism/*drug therapy[MESH]
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