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Medical Oncology

, 26:358 | Cite as

Laboratory investigation of hypercoagulability in cancer patients using rotation thrombelastography

  • O. Meltem Akay
  • Zeki Ustuner
  • Zerrin Canturk
  • Fezan Sahin Mutlu
  • Zafer GulbasEmail author
Original Paper

Abstract

The goal of this study was laboratory testing for hypercoagulability in patients with solid tumors using rotation thrombelastogram (ROTEM®) and correlate ROTEM® parameters with routine coagulation tests. A total of 78 untreated patients with cancer were included: 28 gastrointestinal system tumors (group 1), 27 respiratory system tumors (group 2), and 23 miscellaneus group of ovarian, renal, nasopharyngeal, mesothelioma, and unknown origin (group 3). Platelet count was significantly increased in group 2 in respect to group 3 (P < 0.05) and fibrinogen level was significantly increased in group 2 in respect to group 1 (P < 0.05). There was no statistically significant difference between subgroups in respect to TEG parameters. Tumor-node-metastasis (TNM) stages of patients was not also associated with either of TEG parameters. Correlation analysis revealed significant correlation between laboratory parameters and ROTEM® parameters. Fibrinogen showed the strongest correlation with MCF (r > 0.7) and CFT in all assays (INTEM, EXTEM, FIBTEM, APTEM). There were also statistically significant correlations between platelet number and other ROTEM® parameters (INTEM-CFT, -MCF, EXTEM-CFT, -MCF, FIBTEM-MCF, APTEM-CFT, -MCF). In conclusions, our data demonstrates thromboelastographic signs of hypercoagulability in patients with solid tumors. ROTEM® is able to identify the contribution of fibrinogen and platelets to clot strength in this patient population.

Keywords

Thrombelastography Thrombosis Cancer 

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Copyright information

© Humana Press Inc. 2008

Authors and Affiliations

  • O. Meltem Akay
    • 1
  • Zeki Ustuner
    • 2
  • Zerrin Canturk
    • 1
  • Fezan Sahin Mutlu
    • 3
  • Zafer Gulbas
    • 1
    Email author
  1. 1.Department of HematologyEskisehir Osmangazi University Medical SchoolEskisehirTurkey
  2. 2.Department of Medical OncologyEskisehir Osmangazi University Medical SchoolEskisehirTurkey
  3. 3.Department of BiostatisticsEskisehir Osmangazi University Medical SchoolEskisehirTurkey

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