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C3. Thromboembolism

(1) 암환자의 second leading cause of death
(2) 원인 1 Tumor release procoagulant factors and inflammatory cytokines 2 Large tumors may cause venous obstruction 3 Impaired production of protein C and S and antithrombin 4 Postoperative immobilization and long term central venous catheterization 5 Chemotherapy, hormonal therapy for breast cancer 6 Angiogenesis inhibitors
(3) 치료 1 Low molecular-weight heparin (LMWH) - 3달에서 6달까지 유지 (Venous thromboembolism, both DVT and PE) 2 항암치료를 받는 환자에게서 Venous thromboembolism의 치료로 Direct - acting oral anticoagulants의 사용은 권장되지 않음 (항암치료 진행 중이 아닐시 고려 가능)