Year: 2022
Type: Article
Title: Cancer Histology and Natural History of Patients with Lung Cancer and Venous Thromboembolism
Author: Ruiz-Artacho, Pedro
Author: Lecumberri, Ramón
Author: Trujillo-Santos, Javier
Author: Font, Carme
Author: López-Núñez, Juan J
Author: Peris, María Luisa
Author: Díaz Pedroche, Carmen
Author: Lobo, José Luis
Author: López Jiménez, Luciano
Author: López Reyes, Raquel
Author: Jara Palomares, Luis
Author: Pedrajas, José María
Author: Mahé, Isabelle
Author: Monreal, Manuel
Author: The Riete Investigators,
Author: Bosevski, Marijan
Author: Zdraveska, Marija
Abstract: Background: In patients with lung cancer and venous thromboembolism (VTE), the influence of cancer histology on outcome has not been consistently evaluated. Methods: We used the RIETE registry (Registro Informatizado Enfermedad TromboEmbólica) to compare the clinical characteristics and outcomes during anticoagulation in patients with lung cancer and VTE, according to the histology of lung cancer. Results: As of April 2022, there were 482 patients with lung cancer and VTE: adenocarcinoma 293 (61%), squamous 98 (20%), small-cell 44 (9.1%), other 47 (9.8%). The index VTE was diagnosed later in patients with squamous cancer than in those with adenocarcinoma (median, 5 vs. 2 months). In 50% of patients with adenocarcinoma, the VTE appeared within the first 90 days since cancer diagnosis. During anticoagulation (median 106 days, IQR: 45-214), 14 patients developed VTE recurrences, 15 suffered major bleeding, and 218 died: fatal pulmonary embolism 10, fatal bleeding 2. The rate of VTE recurrences was higher than the rate of major bleeding in patients with adenocarcinoma (11 vs. 6 events), and lower in those with other cancer types (3 vs. 9 events). On multivariable analysis, patients with adenocarcinoma had a non-significantly higher risk for VTE recurrences (hazard ratio [HR]: 3.79; 95%CI: 0.76-18.8), a lower risk of major bleeding (HR: 0.29; 95%CI: 0.09-0.95), and a similar risk of mortality (HR: 1.02; 95%CI: 0.76-1.36) than patients with other types of lung cancer. Conclusions: In patients with lung adenocarcinoma, the rate of VTE recurrences outweighed the rate of major bleeding. In patients with other lung cancers, it was the opposite.
Publisher: MDPI AG
Relation: Cancers
Identifier: oai:repository.ukim.mk:20.500.12188/29319
Identifier: 2072-6694
Identifier: http://hdl.handle.net/20.500.12188/29319Identifier: 10.3390/cancers14174127
Identifier: https://www.mdpi.com/2072-6694/14/17/4127/pdfIdentifier: 14
Identifier: 17
Identifier: 4127
