Incidence of deep vein thrombosis in patients diagnosed with utero-ovarian neoplasms

A single center study

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Published

2021-08-17

How to Cite

Arguello Santacruz, M. A., Loor Holguín, J. L., & Venegas Arteaga, C. A. (2021). Incidence of deep vein thrombosis in patients diagnosed with utero-ovarian neoplasms: A single center study. Oncology Journal (Ecuador), 31(2), 122–130. https://doi.org/10.33821/559

Issue

Vol. 31 No. 2 (2021): August- November

Section

Original Articles

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Copyright (c) 2021 Mario Andres Arguello Santacruz, Jonathan Lenin Loor Holguín, Carlos Alfredo Venegas Arteaga

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Authors

  • Mario Andres Arguello Santacruz Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil. https://orcid.org/0000-0001-7468-0326
  • Jonathan Lenin Loor Holguín Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil.
  • Carlos Alfredo Venegas Arteaga Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil.

DOI:

https://doi.org/10.33821/559

Keywords:

Uterine Cervical Neoplasms, Ovarian Neoplasms, Endometrial Neoplasms, Venous Thrombosis, Embolism and Thrombosis

Abstract

Introduction: Venous thrombus embolism (VTE), a frequent complication in patients with gynecological cancer. The objective of the study was to determine the incidence of deep VTE in patients diagnosed with uterine-ovarian neoplasms in an oncology referral center in Guayaquil-Ecuador in 2019.

Methodology: The present observational study, from a retrospective source, was carried out in the statistics service of the National Oncological Institute “Dr. Juan Tanca Marengo” from the Society for the Fight Against Cancer-SOLCA, Guayaquil Ecuador. The calculation of the sample size was probabilistic of 237 patients. Cases of patients with uterine-ovarian and endometrial neoplasms were included. The variables were age, location of the neoplasm, incidence of VTE based on ultrasound evidence of VTE, Wels criteria, D-dimer. Descriptive statistics were used. The percentages are presented with a confidence interval.

Results: 237 patients were included, the most frequent age group 40 to 59 years with 46.4%, followed by 60 and over with 34.6%; 88.6% of the cases had uterine cancer (cervix - endometrium) and 11.4% with ovarian cancer. According to the Wells classification, 92% had a moderate risk of DVT and 8% had a high risk. The incidence of deep vein thrombosis in patients with uterine-ovarian cancer was 6.75% (CI 6.54-6.96%). The incidence was statistically more prevalent (P=0.01) in the group of women with Uterus Ca than in the ovarian Ca group.

Conclusion: Utero-ovarian neoplasms have a high incidence of deep vein thrombosis.

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Author Biographies

Mario Andres Arguello Santacruz, Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil.

Médico por la Universidad Católica de Santiago de Guayaquil (Ecuador, 2021)

Jonathan Lenin Loor Holguín, Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil.

Médico por la Universidad Católica de Santigago de Guayaquil (Ecuador, 2021)

Carlos Alfredo Venegas Arteaga, Career of Medicine, Faculty of Medical Sciences, Catholic University of Santiago de Guayaquil.

Doctor en Medicina y Cirugía por la Universidad Técnica de Manabí (Ecuador, 2004). Magister en Gerencia en Salud para el Desarrollo Local por la Universidad Técnica Particular de Loja (Ecuador, 2018). Médico especialista en Flebología y LInfología por la Pontificia Universidad Católica Argentina Santa María de los Buenos Aites (Argentina, 2013). Médico especialista en Cirugía Cardiovascular por la Universidad de Buenos Aires (Argentina, 2013).