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Hidden cancer rarely causes out-of-the-blue clots in the bloodstream
Blood clots can be lifesavers when they form outside the bloodstream to stop bleeding from an injury. But they can wreak havoc when they form inside the bloodstream. A blood clot in a coronary artery can cause a heart attack. One in the brain can cause a stroke. Blood clots that form in a leg vein cause a problem known as venous thromboembolism, or VTE. If the clot stays in the leg, it can cause swelling or pain. If it breaks away and travels to the lungs, it can cause a potentially deadly pulmonary embolism. In about half of people who develop a VTE, doctors can identify what caused it. Common causes include an injury; su...
Source: New Harvard Health Information - June 29, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Cancer blood clot venous thromboembolism VTE Source Type: news

A potential role of ECG-gated CT for the diagnosis of pulmonary vein thrombus: an illustrative case report
The presence of tumor thrombus in patients with lung cancer confers a risk of stroke and other end-organ ischemic events. This case highlights a potential role for electrocardiogram (ECG)-gated computed tomography (CT) in the diagnosis of this pathologic process. In this case, pulmonary vein thrombus was definitively identified by an ECG-CT following discordant results between CT and transthoracic echocardiogram. In addition, this case demonstrates how management decisions are affected by physician accessibility to and familiarity with specific imaging tests.
Source: Clinical Imaging - November 21, 2014 Category: Radiology Authors: Michael A. Winkler, Paul von Herrmann, Ryan H. Penticuff, Palak M. Majmudar, Benjamin R. Plaisance, Stephen B. Hobbs, Michael A. Brooks Tags: Case Report Source Type: research

A potential role of ECG-Gated CT for the diagnosis of pulmonary vein thrombus; an illustrative case report
The presence of tumor thrombus in patients with lung cancer confers a risk of stroke and other end organ ischemic events. This case highlights a potential role for ECG-Gated Computed Tomography (ECG-CT) in the diagnosis of this pathologic process. In this case pulmonary vein thrombus was definitively identified by an ECG-CT following discordant results between Computed Tomography (CT) and Transthoracic Echocardiogram (TTE). In addition, this case demonstrates how management decisions are affected by physician accessibility to and familiarity with specific imaging tests.
Source: Clinical Imaging - November 21, 2014 Category: Radiology Authors: Michael A. Winkler, Paul von Herrmann, Ryan H. Penticuff, Palak M. Majmudar, Benjamin R. Plaisance, Stephen B. Hobbs Tags: Case Report Source Type: research

Recurrent Ischemic Stroke in a Patient with the Trousseau Syndrome Treated with Dabigatran
A 70-year-old man with multiple ischemic strokes was diagnosed with cardiac embolism and treated with dabigatran. Three months later, he suddenly developed vertigo and vomiting. Magnetic resonance imaging, showed recurrent lesions and blood tests revealed hypercoagulability, hypoproteinemia, and elevated cytokeratin 19 fragments that serve as a tumor marker of lung cancer. Chest computed tomography showed there were small nodules in bilateral lungs and swollen mediastinal lymph nodes. A conclusive diagnosis was impossible because the patient declined invasive procedures. We suspected primary lung cancer and diagnosed conco...
Source: Journal of Stroke and Cerebrovascular Diseases - February 21, 2014 Category: Neurology Authors: Kosuke Yoshida, Takashi Kimura, Yoko Aburakawa, Yasuhiro Suzuki, Kenji Kuroda, Osamu Yahara Tags: Case Reports Source Type: research