Deep venous thrombosis in Taiwan.
We retrospectively reviewed all patients with a final diagnosis of deep venous thrombosis (DVT) treated at Linkou Chang Gung Memorial Hospital between 1989 and 1995. There were a total of 245 patients with a mean age of 58 years (males 56 and females 59), ranging from 11 to 89 years. The ratio of left to right leg involvement was 2.4 to 1 (166 to 71), however, the right leg was more likely to lead to an acute pulmonary embolism, with a ratio of 3.0 to 1 (9/ 71 to 7/166 patients). Among these patients, 16.3% (40) had cancer. The most frequently involved system was the GI system (16). Adenocarcinoma proved the most common type of malignancy 62.5% (25/40). From this analysis, we found the left leg had a higher likelihood of thrombosis but a DVT of the right leg was more frequently associated with an acute pulmonary embolism. As with previous reports there was a strong relationship between cancer and DVT and the development of a deep venous thrombosis requiring a search for an underlying malignancy in those patients with an unexplained DVT.
Lee
H C
HC
Emergency Department Section of First Cardiology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Liao
W B
WB
Bullard
M J
MJ
Hsu
T S
TS
D000208:Acute Disease; D000230:Adenocarcinoma / Q000150:complications; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003110:Colonic Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications; D011655:Pulmonary Embolism / Q000209:etiology; D012189:Retrospective Studies; D013624:Taiwan / Q000453:epidemiology; D013924:Thrombophlebitis / Q000453:epidemiology* / Q000209:etiology; D002583:Uterine Cervical Neoplasms / Q000150:complications