Detection of incidental pulmonary embolism with multi-slice computed tomography in cancer patients

Deniz, Muhammed Akif; Deniz, Zelal Taş; Adin, Mehmet Emin; Akıl, Ferit; Turmak, Mehmet; Urakçı, Zuhat; Çetinçakmak, Mehmet Güli; Göya, Cemil

doi:10.1016/j.clinimag.2016.10.018

Cited by 8 publications

(3 citation statements)

References 16 publications

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“…In accordance with the series recently published by Kraaijpoel et al 10 and Deniz MA et al 16 where the average of pulmonary and colonic tumor origin represented the highest percentage of cases, 21% and 15%, respectively, in our sample the frequency of tumor origin found was pulmonary (34%) and colonic (14%) predominantly, followed by pancreatic (11%), mesothelioma (6%) and gynecological origin (6%). The adenocarcinoma (60%) and epidermoid (20%) lineage was the most frequent, followed by neuroendocrine (6%), melanoma (6%), clear cells(3%) and small cells (3%).…”

Section: Discussionsupporting

confidence: 93%

Incidental pulmonary embolism. Incidence, clinical-radiological features and survival

García-Prieto¹,

Díaz-Ibero²,

Vásquez-Gambasica³

et al. 2022

RPR

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Objetive: To describe the incidence and features of incidental pulmonary embolism (IPE) and survival of all patients with IPE from January 2012 to December 2014. Rationale: The prevalence of IPE accounts for 1-10% of all pulmonary embolisms (PE). Methods: All radiological reports of computed tomography with intravenous contrast in which the IPE was not suspected were evaluated. The numerical data are expressed by mean and standard deviation (SD); Survival by the Kaplan-Meier analysis and the Log Rank test. Results: We reviewed 7508 reports, detecting 44 patients with IPE (0.6%). Men 64%, age 68 years, pack-year 25, oncological disease 73%, chemotherapy last month before IPE 82%. The predominant histological strain was adenocarcinoma (60%) and epidermoid (20%). The origin of the most common tumor was bronchogenic (27%) and colorectal (14%). The distribution according to the PESI index was mainly I (71%) and II (21%). They received anticoagulation 54%. The location of thrombi was bilateral in 32%. Around 70% were located in main and lobar arteries. Overall survival at one year was more than 70%, being higher in anticoagulated patients (log rank <0.05). Conclusions: The incidence of IPE is low, predominantly in oncological patients. Adenocarcinoma is the predominant strain. Most of them have a low severity index. Survival is higher in anticoagulated patients and higher than in the case of published non-incidental PE.

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Section: Discussionsupporting

confidence: 93%

Incidental pulmonary embolism. Incidence, clinical-radiological features and survival

García-Prieto¹,

Díaz-Ibero²,

Vásquez-Gambasica³

et al. 2022

RPR

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“…Exclusion criteria were as follows: studies unrelated to the staging CT, studies with incomplete data, not written in English, duplicate publications, review, meta-analysis, and case report articles. After exclusion of not suitable papers, overall 12 studies met the inclusion criteria [8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Methodsmentioning

confidence: 99%

Incidental pulmonary embolism in oncologic patients—a systematic review and meta-analysis

Meyer¹,

Wienke

Surov

2020

Support Care Cancer

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Purpose Incidental pulmonary embolism (IPE) is a common finding on computed tomography (CT). IPE is frequent in oncologic patients undergoing staging CT. The aim of this analysis was to provide the pooled frequency of IPE and frequencies of IPE in different primary tumors. Methods MEDLINE, SCOPUS, and EMBASE databases were screened for studies investigating frequency of IPE in oncologic staging CT up to February 2020. Overall, 12 studies met the inclusion criteria and were included into the present study. Results The pooled analysis yielded a total of 28,626 patients. IPE was identified in 963 patients (3.36%, 95% CI = 3.15; 3.57). The highest frequency was found in prostate cancer (8.59%, 95%CI = 3.74; 13.44), followed by hepatobiliary carcinoma (6.07%, 95%CI = 3.09; 9.05) and pancreatic cancer (5.65%, 95%CI = 3.54; 7.76). The lowest frequencies were identified in tumors of male reproductive organs (0.79%, 95%CI = 0.21; 1.37) and hematological diseases (1.11% 95%CI = 0.74; 1.48). Conclusion The overall frequency of IPE in oncologic patients was 3.36%. There are considerable differences in regard to primary tumors with the highest frequency in prostate cancer and pancreatic and hepatobiliary carcinomas.

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“…In literature, it has been reported (12) that the malignancies that have the biggest probability of PTE are lung and colorectal cancer. Another study (13) has reported that the incidence of PTE is greater in breast cancer, lung cancer, and colon cancer, while it is rare in liver and cervical cancer. Another research has also reported that PTE occurs more often in tumors as lung cancer, malignant melanoma, and gynecological cancer, but the tumors with the lowest incidence of PTE are genitourinary malignancies (14).…”

Section: Discussionmentioning

confidence: 99%

Values of thoracic contrast‑enhanced computed tomography in detecting incidental pulmonary thromboembolism in patients with malignant tumors

et al. 2018

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This study aimed to evaluate the values of thoracic multi-slice spiral computed tomography (CT) in the diagnosis of incidental pulmonary thromboembolism (IPTE) in patients with malignant tumors. The clinical data and imaging features of a total of 1,684 patients with malignant tumors, treated in the Fourth Hospital of Hebei Medical University, were analyzed retrospectively in order to investigate the types of malignancies, the patients' clinical features, and the emboli-preferred sites. Among the 1,684 patients, 60 patients had experienced IPTE (3.56%), 35 were females (58.33%), 25 were males (41.67%). Lung cancer had the highest incidence (n=22, 36.67%). The most common site of IPTE was the left lower lobe of pulmonary artery (n=46, 76.67%). The imaging results revealed that in 5 patients (8.33%) IPTE did not occur. Thoracic multi-slice spiral CT has a high detection rate of IPTE in patients with malignant tumors. Early diagnosis is helpful for early clinical treatment and has significant importance for patients' prognosis.

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Detection of incidental pulmonary embolism with multi-slice computed tomography in cancer patients

Cited by 8 publications

References 16 publications

Incidental pulmonary embolism. Incidence, clinical-radiological features and survival

Incidental pulmonary embolism. Incidence, clinical-radiological features and survival

Incidental pulmonary embolism in oncologic patients—a systematic review and meta-analysis

Values of thoracic contrast‑enhanced computed tomography in detecting incidental pulmonary thromboembolism in patients with malignant tumors

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