title: [a woman with recurrence of venous and arterial thrombosis].
abstract: BACKGROUND
  Hypercoagulability leading to arterial or venous thrombosis and embolism in patients with cancer is a known phenomenon.
  
  
  METHODS
  We describe a 62 year old woman with a clinical course compatible with catastrophic antiphospholipid syndrome but seronegative findings and mucinous lung cancer. The case is discussed with reference to literature from a non-systematic PubMed search.
  
  
  CONCLUSIONS
  Diagnoses of cerebral and cardiac infarcts, deep venous thrombosis and lung embolism led to a diagnosis of lung cancer by biopsy and positron emission tomography (PET). Early recurrence of venous and arterial thromboses or poor response to anticoagulation and antiplatelets should initiate cancer search in the assessment of such stroke patients. Especially the combination of venous and arterial thromboses should raise suspicion of cancer. PET and surgical cancer treatment should be evaluated at an early stage.
authors: Nevrologisk avdeling, Haukeland universitetssykehus, Norway. mirza.jusufovic@helse-bergen.no
authors: Mirza
authors: M
authors: Jusufovic
authors: Lars
authors: L
authors: Thomassen
authors: Anette
authors: A
authors: Storstein
authors: Svein
authors: S
authors: Rotevatn
authors: Sverre
authors: S
authors: Lehmann
authors: Ulrike
authors: U
authors: Waje-Andreassen
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D016736:Antiphospholipid Syndrome / Q000175:diagnosis; D020520:Brain Infarction / Q000175:diagnosis*; D002545:Brain Ischemia / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis*; D008207:Lymphatic Metastasis / Q000175:diagnosis; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis; D012008:Recurrence; D020521:Stroke / Q000175:diagnosis; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology