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Uruguayan Medical Journal

ISSN: 1688-0390

Vol.28 - Nº 2 - Jul. 2012

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Idiopathic venous thromboembolic disease as initial manifestation of occult cancer. How ample should the paraclinic screening be for these patients?

Rev Med Urug 2012; 28: 148-154
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract


Idiopathic venous thromboembolic disease is a common manifestation of an apparently occult cancer. This scenario is always a challenge for clinical physicians whom must select a diagnostic strategy in order to find this hidden tumor. The aim of this paper is, based on current knowledge, to recommend a scheme of study in an effort to diagnose the majority of the tumors and causing no iatrogenic disease. This review has a brief clinical vignette as a header which seeks only to illustrate a common clinical situation and place the reader in the context it refers. Then, available scientific evidence is reviewed to conceptualize the theoretical framework from which final recommendations emerge.