Thrombosis is highly prevalent in cancer patients, being accepted as a bad prognosis marker. The importance of various mechanisms involved in the thrombophilic state of lung cancer patients is not well understood. In this prospective study, involving 109 unselected patients with lung adenocarcinoma, thrombosis was present in 24% of patients and affected survival in a bivariable model. However, in a multivariable evaluation, considering all the factors under study, only LAC and IgM anti-beta(2) GP I modified thrombosis risk, whereas in a Kaplan-Meyer regression model, thrombosis, IL-6, LAC, factor VIII, and IgM anti-beta(2) GP I interfered with patient's survival.

Background: Gastric cancer is the third most incident malignancy and the fifth leading cause of death in the world. In Brazil, it is the fourth most common tumour in men and the fifth in women. Familial aggregation of this tumour is being studied and discussed by experts. Aim: Determine the frequency of family history of cancer in patients with gastric cancer, suggesting familial aggregation or increased risk for hereditary cancer syndromes. Methods: This is a retrospective cross-sectional study carried out from January 2011 to March 2015 at the Department of Abdominal and Pelvic Surgery of the Brazilian National Cancer Institute (INCA). Data were collected from electronic medical records and analyzed using SPSS Statistics® version 20. Results: 873 patients with gastric adenocarcinoma were analyzed. A family history of cancer was reported by 451 patients (51.6%), which reported cancer in 878 relatives, of which 110 (12.6%), reported having more than three relatives with any type of cancer. The most prevalent malignancies among these relatives were gastric cancer (21.3%) and breast cancer (9.5%). Conclusion: Most of the patients had cancer family history, being gastric cancer the most common. The high percentage of cancer family history confirms the importance of collecting this information, whose lack reflects professional negligence, as family history study can serve as a low-cost tool, favoring prevention and early diag- 26nosis, situations where morbidity and mortality are smaller, thus reducing health costs and assistance and preserving lives.

Objectives:To describe the nursing care plan from the North American Nursing Diagnosis Association (NANDA) diagnoses, prescribed to gastric adenocarcinoma patients in the first nursing consultation carried out at the ambulatory of the Brazilian National Cancer Institute and to characterize the sociodemographic and clinical profile of these patients. Methods: Observational, descriptive and prospective study based on medical records during the first nursing consultation to gastric adenocarcinoma patients assisted at the Multidisciplinary Ambulatory Group for Research and Treatment of Gastric Cancer. For descriptive statistical analysis, we used the Microsoft Office Excel®, version 2016. The study was approved by institutional review board of the Brazilian National Cancer Institute. Informed consent was obtained from all participants. Results: Fifty patients were included in the study, predominantly men, with mean age of 62,42 years (SD = ±12,02), married, with low schooling and low income, smokers, eventual users of alcohol (n = 37), in advanced tumor stage (n = 90) and with initial symptoms characteristics of this phase. Twelve nursing diagnoses were common to all patients and the most frequently prescribed care were related to the feeding problems control, pain and lack of institutional routines knowledge. Conclusion: The taxonomy used allowed the nurse to identify problems and prescribe care according to its professional competence, using a standard language pattern to register in the medical records, allowing clear communication among the members of health team, based on the signals and symptoms presented by the patients. In this taxonomy, nursing diagnosis related to episodes of active bleeding was not found.

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